Provider Demographics
NPI:1598541732
Name:TEMPE PHYSICIAN SERVICES
Entity Type:Organization
Organization Name:TEMPE PHYSICIAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:DABBAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-597-4321
Mailing Address - Street 1:2919 S ELISWORTH RD
Mailing Address - Street 2:STE #109
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212
Mailing Address - Country:US
Mailing Address - Phone:480-597-4321
Mailing Address - Fax:833-559-0886
Practice Address - Street 1:1001 E WARNER RD
Practice Address - Street 2:STE #103
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284
Practice Address - Country:US
Practice Address - Phone:480-597-4321
Practice Address - Fax:833-559-0886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty