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STELLAR PHYSICAL MEDICINE PLLC NPI 1568720837


NPI Information

NPI: 1568720837
Provider Name: STELLAR PHYSICAL MEDICINE, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
9301 E SHEA BLVD
STE. 118
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 423-3525
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STELLAR PHYSICAL MEDICINE, PLLC 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 STELLAR PHYSICAL MEDICINE, PLLC NPI is 1568720837. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9301 E SHEA BLVD
STE. 118
SCOTTSDALE, AZ
ZIP 85260-733
Phone: (480) 423-3525
Fax: (866) 738-0810

The provider's authorized official is Kathy Wright .
The authorized official title is Office Manager and has the following contact phone number (480) 423-3525.

The enumeration date for this NPI number is 4/24/2012 and was last updated on 5/7/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice34046ARIZONAYes

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
1G16718MEDICARE UPIN
21962573139OTHERARIZONANPI

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: 4/28/2024

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