Basic Information
Provider Information
NPI: 1568838621
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ENCE
FirstName: MATTHEW
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7814 S 72ND LN
Address2:  
City: LAVEEN
State: AZ
PostalCode: 853393446
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 650 E INDIAN SCHOOL RD
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850121839
CountryCode: US
TelephoneNumber: 6022775551
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/12/2015
LastUpdateDate: 08/12/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X7967331-1701UTY Pharmacy Service ProvidersPharmacist 

No ID Information.


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