Organization
LINDA L AUSTIN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA L AUSTIN MD (PHYSICIAN)
(602) 254-2200
Entity
Organization
Contact information
Practice address
1301 E MCDOWELL RD STE 103, PHOENIX, AZ 85006-2605
(602) 254-2200
(602) 254-9337
Mailing address
1301 E MCDOWELL RD STE 103, PHOENIX, AZ 85006-2605
(602) 254-2200
(602) 254-9337
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
21319
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146028001
—
AZ
01
—
MD21329
PRIVIDER STATE LICENSE NO.
AZ
Enumeration date
10/31/2014
Last updated
10/31/2014
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