Provider Demographics
NPI:1427385145
Name:ARDOLF, DEBORAH (ND,,)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:ARDOLF
Suffix:
Gender:F
Credentials:ND,,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9755 N 90TH ST
Mailing Address - Street 2:SUITE A-210
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5046
Mailing Address - Country:US
Mailing Address - Phone:480-767-7119
Mailing Address - Fax:
Practice Address - Street 1:9755 N 90TH ST
Practice Address - Street 2:SUITE A-210
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5046
Practice Address - Country:US
Practice Address - Phone:480-767-7119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1164175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath