Organization
ASCENSION MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAM SADR (OWNER)
(480) 668-3485
Entity
Organization
Contact information
Practice address
9590 E IRONWOOD SQ SUITE 210, SCOTTSDALE, AZ 85258
(480) 668-3485
Mailing address
4808 N 24TH ST UNIT 805, PHOENIX, AZ 85016
(480) 668-3485
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494616
—
AZ
Enumeration date
03/01/2018
Last updated
03/01/2018
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