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:
Map and Directions
Authorized official contact:
Name: Pappoe, Tutankhamen Allotey Doctor of Medicine (MD)
Phone: (480) 807-6500

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659402998 NPPES
Arizona MEDICAID 873671

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