Provider Demographics
NPI:1932240736
Name:ENDRES, ROBERT OTTO (PHD, DABHI)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:OTTO
Last Name:ENDRES
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Gender:M
Credentials:PHD, DABHI
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Mailing Address - Street 1:BLOOD SYSTEMS LABORATORIES
Mailing Address - Street 2:2424 W ERIE DR
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282
Mailing Address - Country:US
Mailing Address - Phone:602-343-7092
Mailing Address - Fax:602-343-7025
Practice Address - Street 1:BLOOD SYSTEMS LABORATORIES
Practice Address - Street 2:2424 W ERIE DR
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282
Practice Address - Country:US
Practice Address - Phone:602-343-7092
Practice Address - Fax:602-343-7025
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics