Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | D009124 | AZ |
NPI | 1053700971 |
---|---|
Provider Name | Dr. Adam Armstrong |
First Address | Goodyear, AZ 85395-2415 |
Second Address | Goodyear, AZ 85395-2415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2015 |
Last Update Date | 15/01/2015 |