NPI 1407964463 · live from the CMS NPI Registry
Darrell D Wadas MD PC
Internal Medicine, Gastroenterology in Phoenix, AZ. National Provider Identifier 1407964463, active.
NPI record
| NPI | 1407964463 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1300 N 12th St, #603, Phoenix, AZ 85006 |
| Practice phone | 602-254-6686 |
| Enumerated | August 29, 2006 |
| Last updated | November 21, 2007 |
| Authorized official | Darrell Wadas, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 13563 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.