Individual
DR. IVAN J ENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4451 E OAK ST, PHOENIX, AZ 85008-2410
(602) 808-2800
(602) 808-2799
Mailing address
202 E. EARLL DRIVE, SUITE 202, PHOENIX, AZ 85012-2647
(602) 808-2800
(602) 808-2799
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44972
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
678797
—
AZ
Enumeration date
02/06/2006
Last updated
10/29/2018
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