NPI 1215048756 · live from the CMS NPI Registry
Desert Ridge Gastroenterology
Internal Medicine, Gastroenterology in Phoenix, AZ. National Provider Identifier 1215048756, active.
NPI record
| NPI | 1215048756 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 4045 E Bell Rd, #139, Phoenix, AZ 85032 |
| Practice phone | 602-996-8888 |
| Enumerated | August 31, 2006 |
| Last updated | January 11, 2016 |
| Authorized official | Bruce Sand, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.