Provider Demographics
NPI:1003930660
Name:DENNIS L ARMSTRONG MD PC
Entity Type:Organization
Organization Name:DENNIS L ARMSTRONG MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-969-3531
Mailing Address - Street 1:6553 E BAYWOOD AVE
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-1752
Mailing Address - Country:US
Mailing Address - Phone:480-969-3531
Mailing Address - Fax:480-962-5210
Practice Address - Street 1:6553 E BAYWOOD AVE
Practice Address - Street 2:SUITE 101B
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-1753
Practice Address - Country:US
Practice Address - Phone:480-969-3531
Practice Address - Fax:480-962-5210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09947207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD36507Medicare UPIN
AZ0953910001Medicare NSC
AZZ114282Medicare PIN