Darron R Mortenson
Orthodontists
2510 E Hunt Hwy #29
San Tan Valley
, Arizona 85143-5206
Darron R Mortenson
Orthodontists
2510 E Hunt Hwy #29
San Tan Valley
, Arizona 85143-5206
(480) 457-1321
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Darron R Mortenson
- 2510 E Hunt Hwy #29
- San Tan Valley, AZ
- Zip : 85143-5206
- Fax : (480) 457-1321
- Phone : (480) 457-1623
Second Address
- Darron R Mortenson
- 2510 E Hunt Hwy #29
- San Tan Valley, AZ
- Zip : 85143-5206
- Fax : (480) 457-1321
- Phone : (480) 457-1623
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 5972 | AZ |
National Provider Identifier
| NPI | 1023041282 |
|---|---|
| Provider Name | Darron R Mortenson |
| First Address | San Tan Valley, AZ 85143-5206 |
| Second Address | San Tan Valley, AZ 85143-5206 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2006 |
| Last Update Date | 21/12/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.