Most Relevant Information
Provider Data
NPI Number: | 1003422882 |
Provider Name: | ROBERT DYSON |
Entity Type: | Individual |
Taxonomy Code: | 2255A2300X |
Specialty: | Specialist/Technologist |
License Number: | 0288 |
Most Important Dates
Enumeration Date: | 09/17/2020 |
Last Updated: | 09/17/2020 |
Provider Practice Location
18401 N 32ND ST
PHOENIX
AZ
850321210
Practice Location Phone/Fax
Phone: | 6027877167 |
Fax: |
Provider Mailing Location
4901 E KELTON LN UNIT 1026
SCOTTSDALE
AZ
852541003
Provider Mailing Phone/Fax
Phone: | 4808616855 |
Fax: |