Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

Organization Allergy & Immunology Physician · NPI 1184738049

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm is an Allergy & Immunology Physician in Phoenix, Arizona. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15
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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Anesthesiology Physician Taxonomy 207L00000X
Dermatology Physician Taxonomy 207N00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Ophthalmology Physician Taxonomy 207W00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Anatomic Pathology Physician Taxonomy 207ZP0101X
Pediatrics Physician Taxonomy 208000000X
Psychiatry Physician Taxonomy 2084P0800X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1184738049
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhoenix Indian Medical Center
Authorized official Laura Tillman — Cmo · (602) 263-1674
Other names Pimc Professsional Services
NPI enumeratedAugust 18, 2006
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing addressPo Box 95460, Cleveland, OH 44193-0698

Other providers in Phoenix