Houshang Semino Mdpc | |
17215 N 72nd Dr Building D 140a Glendale AZ 85308-8558 | |
(623) 487-9630 | |
Not Available |
Full Name | Houshang Semino Mdpc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 17215 N 72nd Dr, Glendale, Arizona |
Authorized Official Name and Position | Houshang Semino (PRESIDENT) |
Authorized Official Contact | 6023902496 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Houshang Semino Mdpc 17215 N 72nd Dr Building D 140a Glendale AZ 85308-8558 Ph: (623) 487-9630 | Houshang Semino Mdpc 17215 N 72nd Dr Building D 140a Glendale AZ 85308-8558 Ph: (623) 487-9630 |
NPI Number | 1750307302 |
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Provider Enumeration Date | 07/15/2006 |
Last Update Date | 11/21/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750307302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 10751 (Arizona) | Primary |
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