Oliden, Mandy Stephanie

Oliden, Mandy Stephanie is an individual health care provider with primary practice located at 6601 W Thomas Rd , Phoenix AZ 85033-5700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Oliden, Mandy Stephanie can be contacted via phone (602) 243-7277.

Contact Information

Primary practice address
6601 W Thomas Rd Phoenix AZ 85033-5700
Phone: (602) 243-7277
Fax: (623) 247-9742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47956 Arizona

Profile Details

NPI number 1538472766
LBN Legal business name Oliden, Mandy Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2010
Last updated Dec 21st, 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 1538472766 NPPES
Arizona Other R72003 TRAINING PERMIT
Arizona MEDICAID 831983 TRAINING PERMIT

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