Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 15358 | AZ |
NPI | 1346458528 |
---|---|
Provider Name | Dr. Terry John Happel |
First Address | Chandler, AZ 85225-9554 |
Second Address | Chandler, AZ 85225-9554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2007 |
Last Update Date | 08/07/2007 |