Organization
WESTSIDE EAR NOSE & THROAT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHIR P AGARWAL MD (PRESIDENT/OWNER)
(602) 938-3777
Entity
Organization
Contact information
Practice address
5757 W THUNDERBIRD RD, SUITE W301, GLENDALE, AZ 85306-4641
(602) 938-3777
(602) 547-0379
Mailing address
5757 W THUNDERBIRD RD, SUITE W301, GLENDALE, AZ 85306-4641
(602) 938-3777
(602) 547-0379
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
17587
AZ
207Y00000X
Otolaryngology Physician
28376
AZ
Other
Enumeration date
12/07/2005
Last updated
10/11/2007
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