Individual
DR. ANITA W EISENHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
DISTRICT MEDICAL GROUP, 2929 E. THOMAS RD, PHOENIX, AZ 85016
(602) 470-5000
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5063
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
209126
NY
207P00000X
Emergency Medicine Physician
Primary
4630
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01862817
—
NY
Enumeration date
04/26/2006
Last updated
03/05/2019
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