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INTEGRATED MEDICAL SERVICES INC NPI 1558607317


NPI Information

NPI: 1558607317
Provider Name: INTEGRATED MEDICAL SERVICES INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 03D0531358

Address:
13065 W MCDOWELL RD
C101
AVONDALE, AZ
ZIP 85392
Phone: (623) 547-2800
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INTEGRATED MEDICAL SERVICES INC is a podiatrist in Avondale, AZ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. INTEGRATED MEDICAL SERVICES INC NPI is 1558607317. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13065 W MCDOWELL RD
C101
AVONDALE, AZ
ZIP 85392-439
Phone: (623) 547-2800
Fax: (623) 547-3083

The provider's authorized official is John Dover .
The authorized official title is President and has the following contact phone number (602) 633-3838.

The CLIA number assigned to this NPI record is 03D0531358 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2012 and was last updated on 8/8/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15656400003MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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