Type 2 organization · NPI 1982954996

ATLANTIS MEDICAL SPECIALIST AZ, PLLC

207LP2900X · YOUNGTOWN, AZ

Why this profile is appearing now

Observed change signals

No current public change signal is attached to this profile.

Reported classification

Taxonomies

CodeDescriptionSource flag
207LP2900X 207LP2900X Primary
207QA0505X 207QA0505X Additional
207R00000X 207R00000X Additional
207X00000X 207X00000X Additional
208600000X 208600000X Additional
208800000X 208800000X Additional
208D00000X 208D00000X Additional
208VP0000X 208VP0000X Additional

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s