Dr. Eugene John Sidoti JR.
Surgeon Plastic Hand Surgeon Oral & Maxillofacial Surgeon Plastic and Reconstructive Surgery and 3 more
2601 E Roosevelt St
Phoenix
, Arizona 85008-4973
Dr. Eugene John Sidoti JR.
Surgeon Plastic Hand Surgeon Oral & Maxillofacial Surgeon Plastic and Reconstructive Surgery and 3 more
2601 E Roosevelt St
Phoenix
, Arizona 85008-4973
(602) 470-5064
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
- Surgeon
- Plastic Hand Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Eugene John Sidoti JR.
- 2929 E Thomas Rd
- Phoenix, AZ
- Zip : 85016-8034
- Fax : (602) 470-5064
- Phone : (602) 470-5000
Second Address
- Dr. Eugene John Sidoti JR.
- 2601 E Roosevelt St
- Phoenix, AZ
- Zip : 85008-4973
- Fax : (602) 344-5596
- Phone : (602) 344-5011
Reviews
FAQs
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Is Dr. Eugene John Sidoti JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgeon | 175407 | NY |
| N | 208200000X | Surgeon | 175407 | NY |
| N | 208600000X | Surgeon | 175407 | NY |
| N | 208200000X | Surgeon | 59440 | AZ |
| N | 208600000X | Surgeon | 59440 | AZ |
| N | 2082S0105X | Plastic Hand Surgeon | 175407 | NY |
| N | 2082S0105X | Plastic Hand Surgeon | 59440 | AZ |
| N | 2086S0122X | Plastic and Reconstructive Surgery | 175407 | NY |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 59440 | AZ |
National Provider Identifier
| NPI | 1316958945 |
|---|---|
| Provider Name | Dr. Eugene John Sidoti JR. |
| First Address | Phoenix, AZ 85016-8034 |
| Second Address | Phoenix, AZ 85008-4973 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2006 |
| Last Update Date | 07/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G02813 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.