Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | AZ0212 | AZ |
NPI | 1063463305 |
---|---|
Provider Name | Dr. Alan J Discont |
First Address | Chandler, AZ 85224-5678 |
Second Address | Chandler, AZ 85224-5678 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 22/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1Z0359 | HEALTH NET AZ PROVIDER NU (01) | AZ |
378420800 | DEPT OF LABOR PROV NUMBER (01) | AZ |
700478 | (05) | AZ |
AZ0068980 | BCBS PROVIDER NUMBER (01) | AZ |
T41561 | (02) | AZ |