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ANTHONY MICHAEL DIGEORGE M.D. NPI 1689852105


NPI Information

NPI: 1689852105
Provider Name: ANTHONY MICHAEL DIGEORGE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1345 E MAIN ST
103
MESA, AZ
ZIP 85203
Phone: (480) 223-0290
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Anthony Michael Digeorge, M.D. is a pediatrics in Mesa, AZ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Anthony Michael Digeorge, M.D. NPI is 1689852105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1345 E MAIN ST
103
MESA, AZ
ZIP 85203-947
Phone: (480) 223-0290
Fax: (480) 223-0295

The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0205XPediatricsPediatric Endocrinology16947ARIZONANo
2208000000XPediatrics16947ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1331877OTHERARIZONAAHCCCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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