ARIZONA STATE UNIVERSITY NPI 1255511465

NPI Information

ARIZONA STATE UNIVERSITY is a family nurse practitioner in Glendale, AZ. ARIZONA STATE UNIVERSITY NPI is 1255511465. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Arizona State University Health Services.

The provider's business location address is:

4701 WEST THUNDERBIRD ROAD
UNIVERSITY CENTER BUILDING, ROOM 190
GLENDALE, AZ
ZIP 85306
Phone: (602) 543-8019
Fax: (602) 543-8079

The provider's authorized official is Allan Markus .
The authorized official title is Physician/director and has the following contact phone number (480) 965-1145.

The CLIA number assigned to this NPI record is 03D0880135 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/6/2007 and was last updated on 11/3/2014.

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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