TAKAYAMA 90 MED PLLC

PHOENIX, AZ
NPI1477976546
Entity TypeOrganization
Authorized ContactMELANIE GROSS
VP Of Revenue Cycle
214-615-5168
Organization Subpart ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: AZ  41788)
Enumeration Date2014-01-27
Last Update Date2014-01-27
Business Address
TAKAYAMA 90 MED PLLC
14848 N 15TH DR
PHOENIX, AZ 85023-5181
Phone number: 214-615-5168
Mailing Address
TAKAYAMA 90 MED PLLC
PO BOX 3837
CAROL STREAM, IL 60132-3837
Phone number: 214-615-5168