Eric Ernest Prommer
Hematology & Oncology
13400 E Shea Blvd
Scottsdale
, Arizona 85259-5404
Eric Ernest Prommer
Hematology & Oncology
13400 E Shea Blvd
Scottsdale
, Arizona 85259-5404
(480) 301-8000
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Eric Ernest Prommer
- 13400 E Shea Blvd
- Scottsdale, AZ
- Zip : 85259-5404
- Phone : (480) 301-8000
Second Address
- Eric Ernest Prommer
- 13400 E Shea Blvd
- Scottsdale, AZ
- Zip : 85259-5404
- Phone : (480) 301-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 36088 | AZ |
| N | 207RH0003X | Hematology & Oncology | G075656 | CA |
National Provider Identifier
| NPI | 1043320518 |
|---|---|
| Provider Name | Eric Ernest Prommer |
| First Address | Scottsdale, AZ 85259-5404 |
| Second Address | Scottsdale, AZ 85259-5404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 28/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 139080 | (05) | AZ |
| D70775 | (02) | |
| P00420090 | RAILROAD MEDICARE (01) | AZ |
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.