Individual
DR. ROBERT FRANK TAKACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4045E. BELL RD. SUITE 143, DESERT VALLEY RADIOLOGY, PHOENIX, AZ 85032
(602) 867-0404
Mailing address
8485 W WHITEHORN WAY, PEORIA, AZ 85383-3620
(623) 451-7784
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27752
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
27752
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107628
MEDICARE GROUP
AZ
01
—
181760
MEDICAID GROUP
AZ
05
—
480757
—
AZ
Enumeration date
08/20/2006
Last updated
01/31/2011
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