Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 6733 | NE |
N | 111NI0900X | Internist | 6733 | NE |
Y | 207RG0100X | Gastroenterologist | 58050 | AZ |
NPI | 1023373172 |
---|---|
Provider Name | Jose Machain |
First Address | Scottsdale, AZ 85251-5650 |
Second Address | Scottsdale, AZ 85251-5650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2012 |
Last Update Date | 14/11/2019 |