Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 06-968 | AZ |
NPI | 1154536993 |
---|---|
Provider Name | Dr. Ardeschir Mehrabani |
First Address | Tucson, AZ 85712 |
Second Address | Tucson, AZ 85712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 05/10/2020 |