CAMELBACK MOUNTAIN MEDICAL ASSOCIATES PC NPI 1164776845

NPI Information

CAMELBACK MOUNTAIN MEDICAL ASSOCIATES PC is a family medicine in Phoenix, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CAMELBACK MOUNTAIN MEDICAL ASSOCIATES PC NPI is 1164776845. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 E MONTEREY WAY
PHOENIX, AZ
ZIP 85012-618
Phone: (602) 266-4383
Fax: (602) 266-4384

The provider's authorized official is Edward Griffin Cipolla .
The authorized official title is Owner/president and has the following contact phone number (602) 266-4383.

The CLIA number assigned to this NPI record is 03D0957406 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2012 and was last updated on 11/2/2012.

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:

Other Identifiers

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