Individual
DR. ALBERT CONRAD ASENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 W BERYL AVE, PHOENIX, AZ 85021
(602) 944-5109
Mailing address
31 W BERYL AVE, PHOENIX, AZ 85021
(602) 944-5109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0431857
KS
207R00000X
Internal Medicine Physician
0431857
KS
207R00000X
Internal Medicine Physician
Primary
PB3088
AZ
Other
Enumeration date
06/20/2007
Last updated
11/16/2009
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