Dardis, Mark William

Dardis, Mark William is an sole proprietor health care provider with primary practice located at 15424 S 1St Ave , Phoenix AZ 85045-0400. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Naturopath, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Other Service Providers / Naturopath is his primary health care specialty. Dardis, Mark William can be contacted via phone (480) 460-0669.

Contact Information

Primary practice address
15424 S 1St Ave Phoenix AZ 85045-0400
Phone: (480) 460-0669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 21-00039 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-00596 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8414 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 9310000379 California
Other Service Providers / Naturopath 175F00000X 16-1548 Arizona

Profile Details

NPI number 1710067681
LBN Legal business name Dardis, Mark William
Credentials N.D., ED.D., D.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated May 10th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710067681 NPPES
Arizona MEDICAID 456071

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