SCOTTSDALE MEDICAL CLINIC LLC NPI 1114497864

NPI Information

SCOTTSDALE MEDICAL CLINIC LLC is a general practice in Scottsdale, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SCOTTSDALE MEDICAL CLINIC LLC NPI is 1114497864. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4432 N MILLER RD STE 102
SCOTTSDALE, AZ
ZIP 85251-697
Phone: (480) 306-7227

The provider's authorized official is Michael Cormier .
The authorized official title is President and has the following contact phone number (480) 306-7227.

The CLIA number assigned to this NPI record is 03D2281794 - other - group practice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2018 and was last updated on 11/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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