Tutankhamen Pappoe Md Plc
LBN: East Valley Spine And Sports Medicine Center, Plc
Tutankhamen Pappoe Md Plc is an health care organization with primary practice located at 4858 E Baseline Rd Suite 107, Mesa AZ 85206-4638. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
East Valley Spine And Sports Medicine Center, Plc can be contacted via phone (480) 807-6500, or through Pappoe, Tutankhamen Allotey via phone (480) 807-6500.
Contact Information
Primary practice address
4858 E Baseline Rd Suite 107
Mesa AZ 85206-4638
Phone: (480) 807-6500
Fax: (866) 835-7591
Website:
Authorized official contact:
Name: Pappoe, Tutankhamen Allotey Doctor of Medicine (MD)
Phone: (480) 807-6500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 33084 | Arizona |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 33084 | Arizona |
Profile Details
| NPI number | 1659402998 |
|---|---|
| LBN Legal business name | East Valley Spine And Sports Medicine Center, Plc |
| DBA Doing business as | Tutankhamen Pappoe Md Plc |
| Authorized official | Pappoe, Tutankhamen Allotey Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jun 16th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659402998 | NPPES |
| Arizona | MEDICAID | 873671 |
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