Organization
MARICOPA EAR NOSE & THROAT P C
Active
Other names
Maricopa ENT,PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAD E BARTELL MD (PRESIDENT)
(480) 820-1200
Entity
Organization
Contact information
Practice address
2131 W SOUTHERN AVE, TEMPE, AZ 85282
(480) 820-1200
(480) 820-5743
Mailing address
2131 W SOUTHERN AVE, TEMPE, AZ 85282
(480) 820-1200
(480) 820-5743
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487793295
GROUP NPI
AZ
Enumeration date
02/06/2007
Last updated
06/09/2009
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