Terry, David A

Terry, David A is an sole proprietor health care provider with primary practice located at 6120 W Bell Rd Suite 100, Glendale AZ 85308-3781. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Terry, David A can be contacted via phone (623) 512-4326.

Contact Information

Primary practice address
6120 W Bell Rd Suite 100 Glendale AZ 85308-3781
Phone: (623) 512-4326
Fax: (623) 584-6732
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 005223 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X 005223 Arizona

Profile Details

NPI number 1801916630
LBN Legal business name Terry, David A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2007
Last updated Sep 4th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801916630 NPPES
Arizona MEDICAID 429140

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