Provider Demographics
NPI:1235254707
Name:HONY, DAVID JAMES (SFA,ST)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JAMES
Last Name:HONY
Suffix:
Gender:M
Credentials:SFA,ST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18412 W LAVENDER LN
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-5076
Mailing Address - Country:US
Mailing Address - Phone:928-399-9537
Mailing Address - Fax:
Practice Address - Street 1:18412 W. LAVENDER LN.
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338
Practice Address - Country:US
Practice Address - Phone:928-399-9537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist