Provider Demographics
NPI:1124080932
Name:SARMIENTO, PAUL N (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:N
Last Name:SARMIENTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2155 W PINNACLE PEAK RD STE 201
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-1203
Mailing Address - Country:US
Mailing Address - Phone:602-560-8257
Mailing Address - Fax:602-560-0275
Practice Address - Street 1:2155 W PINNACLE PEAK RD STE 201
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-1203
Practice Address - Country:US
Practice Address - Phone:602-560-8257
Practice Address - Fax:602-560-0275
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34927207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine