Individual provider · NPI-1

Kevin Ludwig, MD

Contractor · Glendale, AZ

NPI number1396903803
StatusActive
Last updated in NPPESMar 25, 2011

Details

NPI
1396903803
Entity type
Individual (NPI-1)
Name
Kevin Ludwig
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 30, 2008
Last updated
Mar 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor––Yes

Practice location

17218 N 72nd Dr
Suite 100
Glendale, AZ 85308-8580

Phone 623-334-8670 · Fax 623-334-8675

Mailing address

17218 N 72nd Dr
Suite 100
Glendale, AZ 85308-8580

Phone 623-334-8670 · Fax 623-334-8675

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