NPI 1073854600

Metro Infectious Disease Consultants, LLC

Organisation Infectious Disease Physician Goodyear, AZ

Practice location

Address: 13657 W McDowell Rd Suite 118, Goodyear, AZ 85395-2601
Phone: (623) 328-7794
Fax: (623) 328-7932
Mailing address: 901 McClintock Dr Suite 202, Burr Ridge, IL 60527-0871

Authorised official

Name: Tara Kowalski
Title: Credentialing Manager
Phone: (888) 220-6432

Registered specialties

Infectious Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RI0200X

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Registry record

NPI: 1073854600
Entity type: Organization
NPI issued: 6 Mar 2013
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.