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Individual

DR. YEBABE MELAK MENGESHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19646 N 27TH AVE, SUITE 305, PHOENIX, AZ 85027-4017
(480) 556-0446
(480) 556-0447
Mailing address
20401 N 73RD ST, SUITE 230, SCOTTSDALE, AZ 85255-4107
(480) 556-0446
(480) 556-0447

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
32769
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137317
AZ
Enumeration date
08/14/2006
Last updated
10/30/2015
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