Cheri Diane Dersam M.D.

NPI 1811905177 - Emergency Medicine - 207P00000X

NPI Details
NPI 1811905177
Gender Female
Enumeration Date 08/03/2006
Last Updated 10/20/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4730 E INDIAN SCHOOL RD
SUITE 211
PHOENIX AZ, 85018-5441, US
Phone (602) 354-3491
Fax
Business Location
6131 E CALLE ROSA
SCOTTSDALE AZ, 85251-4222, US
Phone (480) 874-5835
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Arizona
License Number 31114
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According to our database, Dr. Cheri Diane Dersam M.D. NPI is 1811905177, taxonomy code is 207P00000X and license number is 31114, license state is located at Arizona. Cheri Diane Dersam M.D. physically located at 4730 E Indian School Rd, Phoenix AZ, 85018-5441. NPI Number Cheri Diane Dersam M.D. has the Individual type.

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1811905177 NPI number is provided on an as is basis without warranty of any kind. 1811905177 is maintained by the National Plan & Provider Enumeration System. The contents of Cheri Diane Dersam M.D. are for informational purposes only.