Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 8828 | AZ |
NPI | 1013980895 |
---|---|
Provider Name | Dr. David A Cherrill |
First Address | Phoenix, AZ 85012-0000 |
Second Address | Scottsdale, AZ 85251-6420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 01/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
224642 | (05) | AZ |
C99263 | (02) | AZ |