Duffy, Evan
Duffy, Evan is an individual health care provider with primary practice located at 570 W Brown Rd , Mesa AZ 85201-3227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Duffy, Evan can be contacted via phone (480) 344-2007.Contact Information
Primary practice address
570 W Brown Rd
Mesa AZ 85201-3227
Phone: (480) 344-2007
Fax: (480) 649-0783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 31830 | Arizona |
Profile Details
| NPI number | 1467471011 |
|---|---|
| LBN Legal business name | Duffy, Evan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Nov 10th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467471011 | NPPES |
| Arizona | MEDICAID | 803652 |
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