Individual
RICHARD LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0548
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD476659
PA
207YP0228X
Pediatric Otolaryngology Physician
Primary
69615
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127668
—
AZ
Enumeration date
05/27/2016
Last updated
08/29/2023
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