Organization
ENTEGRITY EAR, NOSE AND THROAT SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE LAMOINE SIDES (OPERATIONS MANAGER)
(602) 494-5090
Entity
Organization
Contact information
Practice address
6950 E CHAUNCEY LN, SUITE 100, PHOENIX, AZ 85054-5155
(602) 494-5090
(602) 494-5055
Mailing address
6950 E CHAUNCEY LN, SUITE 100, PHOENIX, AZ 85054-5155
(602) 494-5090
(602) 494-5055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26487
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23310
—
AZ
01
—
AZ0875920
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
02/22/2007
Last updated
03/31/2008
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