Individual
DHARMENDRA N. BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
7725 N 43RD AVE STE 111, PHOENIX, AZ 85051-5775
(623) 463-8556
(623) 463-6654
Mailing address
7725 N 43RD AVE STE 111, PHOENIX, AZ 85051-5775
(623) 463-8556
(623) 463-6654
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2465
AZ
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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