Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 8529 | AZ |
NPI | 1841837051 |
---|---|
Provider Name | Cameron Call |
First Address | Phoenix, AZ 85044-0620 |
Second Address | Phoenix, AZ 85044-0620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2019 |
Last Update Date | 09/12/2019 |