Michael D Dersam Md Pc An Arizona Professional Corporation

LBN: Michael D Dersam Md Pc
Michael D Dersam Md Pc An Arizona Professional Corporation is an health care organization with primary practice located at 2222 E Highland Ave Suite 425, Phoenix AZ 85016. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Michael D Dersam Md Pc can be contacted via phone (602) 667-6640, or through Dersam, Michael Daniel via phone (602) 667-6640.

Contact Information

Primary practice address
2222 E Highland Ave Suite 425 Phoenix AZ 85016
Phone: (602) 667-6640
Fax: (602) 522-2677
Website:
Map and Directions
Authorized official contact:
Name: Dersam, Michael Daniel Doctor of Medicine (MD)
Phone: (602) 667-6640

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30263 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X AZ30263 Arizona

Profile Details

NPI number 1821269374
LBN Legal business name Michael D Dersam Md Pc
DBA Doing business as Michael D Dersam Md Pc An Arizona Professional Corporation
Authorized official Dersam, Michael Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2008
Last updated Mar 15th, 2018 - about 6 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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