Individual
MANUEL S EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15920 S 48TH ST, SUITE 100, PHOENIX, AZ 85048-1003
(480) 961-2323
(480) 961-2108
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
48822
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
906586
AHCCCS
AZ
Enumeration date
10/13/2008
Last updated
10/07/2014
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