Sara Madderom is a Specialist based in Phoenix, AZ. Sara Madderom practices in Phoenix, AZ. The NPI Number for Sara Madderom is 1366541880 and holds a License No. 2821 (Arizona).
The current practice location address for Sara Madderom is 15002 N 32Nd St, Phoenix, AZ and can be reached out via phone at 602-867-5223.
Location: 15002 N 32Nd St, Phoenix, AZ, 85032-4441
Provider Profile Details
NPI Number
1366541880
Provider Name
Sara Madderom
Credential
Provider Entity Type
Individual
Gender
Female
Address
15002 N 32Nd St, Phoenix, AZ, 85032-4441
Phone Number
602-867-5223
Fax Number
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 626715 | 05 | AZ |
Provider Business Practice Location Address Details
Address
15002 N 32Nd St
City
State
Zip
85032-4441
Phone Number
602-867-5223
Fax Number
Provider Business Mailing Address Details
Address
15002 N 32Nd St
City
State
Zip
85032-4441
Phone Number
602-867-5223
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
2821 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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