David, Andrew

David, Andrew is an individual health care provider with primary practice located at 1329 N Beaver St Ste 1 , Flagstaff AZ 86001-3127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. David, Andrew can be contacted via phone (928) 773-2260.

Contact Information

Primary practice address
1329 N Beaver St Ste 1 Flagstaff AZ 86001-3127
Fax: (928) 773-2402
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 24772 Arizona

Profile Details

NPI number 1144222001
LBN Legal business name David, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Apr 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144222001 NPPES
Arizona MEDICAID 109498
Arizona MEDICAID 0010949804

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