Popp, Phyllis I
Popp, Phyllis I is an individual health care provider with primary practice located at 6811 E Superstition Springs Blvd , Mesa AZ 85209-4001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Popp, Phyllis I can be contacted via phone (480) 641-4000.Contact Information
Primary practice address
6811 E Superstition Springs Blvd
Mesa AZ 85209-4001
Phone: (480) 641-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2654 | Arizona |
Profile Details
| NPI number | 1306816517 |
|---|---|
| LBN Legal business name | Popp, Phyllis I |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1306816517 | NPPES |
| Arizona | MEDICAID | 356875 |
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