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Organization

ATLANTIS MEDICAL SPECIALIST AZ, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID K TOWNS MD (OWNER)
(623) 583-2073
Entity
Organization

Contact information

Practice address
11124 W CALIFORNIA AVE STE G, YOUNGTOWN, AZ 85363-1246
(623) 583-2073
(623) 583-1099
Mailing address
11124 W CALIFORNIA AVE STE G, YOUNGTOWN, AZ 85363-1246
(623) 583-2073
(623) 583-1099

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
41375
AZ
207QA0505X
Adult Medicine Physician
207R00000X
Internal Medicine Physician
207X00000X
Orthopaedic Surgery Physician
208600000X
Surgery Physician
208800000X
Urology Physician
208D00000X
General Practice Physician
208VP0000X
Pain Medicine Physician

Other

Enumeration date
09/17/2012
Last updated
09/17/2012
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