Organization
CARLA DORMER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA HERNANDEZ (MANAGING DIRECTOR)
(602) 343-2900
Entity
Organization
Contact information
Practice address
5110 N 44TH ST, SUITE L200, PHOENIX, AZ 85018-1649
(602) 343-2900
(602) 391-2080
Mailing address
5110 N 44TH ST, SUITE L200, PHOENIX, AZ 85018-1649
(602) 343-2900
(602) 391-2080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37374
AZ
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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