Provider Demographics
NPI:1851335715
Name:ADRIENNE FORSTNER BARTHELL MD PLC
Entity Type:Organization
Organization Name:ADRIENNE FORSTNER BARTHELL MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:W
Authorized Official - Last Name:FORSTNER-BARTHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-993-2622
Mailing Address - Street 1:5422 W THUNDERBIRD RD
Mailing Address - Street 2:STE 10
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-4700
Mailing Address - Country:US
Mailing Address - Phone:602-993-2622
Mailing Address - Fax:602-993-2922
Practice Address - Street 1:5422 W THUNDERBIRD RD
Practice Address - Street 2:STE 10
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4700
Practice Address - Country:US
Practice Address - Phone:602-993-2622
Practice Address - Fax:602-993-2922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ110906Medicare PIN