Individual
EDWARD O TOKATLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4530 E MUIRWOOD DR, SUITE 105, PHOENIX, AZ 85048-7639
(480) 961-2303
(480) 961-0419
Mailing address
4530 E MUIRWOOD DR, SUITE 105, PHOENIX, AZ 85048-7639
(480) 961-2303
(480) 961-0419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19724
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412586
—
AZ
01
—
9210331
MEDI-CAL
CA
01
—
PIM13TOKAED1
MERCYCARE
AZ
Enumeration date
08/03/2005
Last updated
01/18/2008
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