Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD N EISEN, M.D
ActiveAnatomic Pathology · GLENDALE, AZ
Registration Details
- NPI Number
- 1023032190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (19.747456118777 yrs)
- Last Updated
- Aug 5, 2020
- License
-
50419 (AZ)
Practice Information
- Address
-
5555 W THUNDERBIRD RDGLENDALE, AZ, 853064622Browse AZ providers · Browse ZIP 85306
- Phone
- 6026855211
- Fax
- 6026855325
- Primary Specialty
-
Anatomic Pathology
207ZP0101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.