Organization · NPI-2

3d Integrated Medical, LLC

Nurse Practitioner, Family · Tempe, AZ

NPI number1508373358
StatusActive
Last updated in NPPESJan 2, 2018

Details

NPI
1508373358
Entity type
Organization (NPI-2)
Legal business name
3d Integrated Medical, LLC
Organization subpart
No
Enumeration date
Jan 2, 2018
Last updated
Jan 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes
111N00000X Chiropractor––

Practice location

2135 E Southern Ave
Tempe, AZ 85282-7503

Phone 480-456-3703 · Fax 480-456-0477

Mailing address

2135 E Southern Ave
Tempe, AZ 85282-7503

Phone 480-456-3703 · Fax 480-456-0477

Authorized official

Edward Traum
President
4804563703

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Tempe, AZ