Organization
TERRY AMBUS MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY AMBUS M.D. (SOLE OWNER)
(480) 507-2961
Entity
Organization
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3000
Mailing address
PO BOX 1847, GILBERT, AZ 85299-1847
(480) 507-2961
(480) 507-2971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22290
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300700
—
AZ
01
—
DG9637
MEDICARE RR
AZ
Enumeration date
07/23/2006
Last updated
07/02/2015
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