Organization
AZ HOME MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH DAULAT DPM (PARTNER)
(623) 977-6245
Entity
Organization
Contact information
Practice address
6677 W THUNDERBIRD RD, J 171, GLENDALE, AZ 85306-3709
(623) 977-6245
(623) 977-6280
Mailing address
6677 W THUNDERBIRD RD, J 171, GLENDALE, AZ 85306-3709
(623) 977-6245
(623) 977-6280
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0547
AZ
Other
Enumeration date
09/06/2013
Last updated
04/29/2014
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