Provider Demographics
NPI:1598959751
Name:SALES, JUSTIN W (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:W
Last Name:SALES
Suffix:
Gender:M
Credentials:MD, MPH
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1919 E THOMAS RD
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7710
Mailing Address - Country:US
Mailing Address - Phone:602-546-5048
Mailing Address - Fax:602-546-1414
Practice Address - Street 1:1919 E THOMAS RD
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7710
Practice Address - Country:US
Practice Address - Phone:602-546-5048
Practice Address - Fax:602-546-1414
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ367272080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine