Provider Demographics
NPI:1255310462
Name:SYMS, MARK JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:JAMES
Last Name:SYMS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2627 N 3RD ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1113
Mailing Address - Country:US
Mailing Address - Phone:602-307-9919
Mailing Address - Fax:602-307-5905
Practice Address - Street 1:2627 N 3RD ST
Practice Address - Street 2:SUITE 201
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1113
Practice Address - Country:US
Practice Address - Phone:602-307-9919
Practice Address - Fax:602-307-5905
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2008-02-05
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Provider Licenses
StateLicense IDTaxonomies
AZ30210207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH71503Medicare UPIN
AZZ81332Medicare PIN