Laurel, Edgardo

Laurel, Edgardo is an individual health care provider with primary practice located at 2545 E Thomas Rd Suite 120, Phoenix AZ 85016-7969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Laurel, Edgardo can be contacted via phone (602) 419-3637.

Contact Information

Primary practice address
2545 E Thomas Rd Suite 120 Phoenix AZ 85016-7969
Phone: (602) 419-3637
Fax: (602) 595-1528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 21887 Arizona

Profile Details

NPI number 1992708788
LBN Legal business name Laurel, Edgardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jun 1st, 2016 - about 10 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 1992708788 NPPES
Arizona MEDICAID 151605

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