Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY UDOINWANG
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · GLENDALE, AZ
Registration Details
- NPI Number
- 1639798143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2020 (6.0222752335061 yrs)
- Last Updated
- Apr 14, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
10435 W READE AVEGLENDALE, AZ, 853074237Browse AZ providers · Browse ZIP 85307
- Phone
- 6235940997
- Fax
- 6235940998
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
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.