David A Vertullo Md Pc

LBN: David A Vertullo Md Pc
David A Vertullo Md Pc is an health care organization with primary practice located at 1930 E Thomas Rd , Phoenix AZ 85016-7711. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. David A Vertullo Md Pc can be contacted via phone (480) 596-8525, or through Vertullo, David Anthony via phone (480) 596-8525.

Contact Information

Primary practice address
1930 E Thomas Rd Phoenix AZ 85016-7711
Phone: (480) 596-8525
Fax: (480) 596-8522
Website:
Map and Directions
Authorized official contact:
Name: Vertullo, David Anthony Doctor of Medicine (MD)
Phone: (480) 596-8525

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 34938 Arizona

Profile Details

NPI number 1427094952
LBN Legal business name David A Vertullo Md Pc
DBA Doing business as
Authorized official Vertullo, David Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Oct 5th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427094952 NPPES
Arizona MEDICAID 109820
Arizona Other ZA5362
Arizona Other 0440730
Arizona Other PENDING

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