Individual
AMMOREN EDWARD DOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8880 E DESERT COVE AVE, SCOTTSDALE, AZ 85260-6746
(480) 314-6670
(480) 257-1997
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
(480) 245-6286
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
73542
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL82887
SOUTH CAROLINA LIMITED LICENSE
SC
Enumeration date
09/02/2014
Last updated
06/28/2024
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