Organization
BLUE DOOR THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA M BERMAN M.D. (CEO)
(602) 380-5757
Entity
Organization
Contact information
Practice address
10900 N SCOTTSDALE RD, SUITE 609, SCOTTSDALE, AZ 85254-5216
(602) 380-5757
Mailing address
7272 E INDIAN SCHOOL RD, STE 540, SCOTTSDALE, AZ 85251-3921
(602) 380-5757
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC14265
AZ
175F00000X
Naturopath
03739
AZ
207P00000X
Emergency Medicine Physician
3111
AZ
207P00000X
Emergency Medicine Physician
Primary
31260
AZ
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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