Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 09947 | AZ |
NPI | 1194794354 |
---|---|
Provider Name | Dr. Dennis Lee Armstrong |
First Address | Mesa, AZ 85206-1752 |
Second Address | Mesa, AZ 85206-1752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 08/12/2008 |