Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | AZ2281 | AZ |
Y | 213EG0000X | General Practice | AZ2281 | AZ |
NPI | 1003030834 |
---|---|
Provider Name | Dr. Mark James Helling |
First Address | Tempe, AZ 85281-5922 |
Second Address | Tempe, AZ 85281-5922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |