| Darrell D Wadas MD PC | |
|
1300 N 12th St #603 Phoenix AZ 85006-2850 | |
| (602) 254-6686 | |
| (602) 254-4258 |
| Full Name | Darrell D Wadas MD PC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1300 N 12th St, Phoenix, Arizona |
| Authorized Official Name and Position | Darrell D Wadas (OWNER) |
| Authorized Official Contact | 6022546686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darrell D Wadas MD PC 1300 N 12th St #603 Phoenix AZ 85006-2850 Ph: (602) 254-6686 | Darrell D Wadas MD PC 1300 N 12th St #603 Phoenix AZ 85006-2850 Ph: (602) 254-6686 |
| NPI Number | 1407964463 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407964463 | NPI | - | NPPES |
| 275215 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 13563 (Arizona) | Primary |
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