GERIATRIC SPECIALTIES OF ARIZONA PC NPI 1649690603

NPI Information

GERIATRIC SPECIALTIES OF ARIZONA PC is a non pharmacy dispensing site in Phoenix, AZ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) GERIATRIC SPECIALTIES OF ARIZONA PC NPI is 1649690603. The provider is registered as an organization entity type.
The provider Is Doing Business As Geriatric Specialties Of Arizona.

The provider's business location address is:

6838 N 23RD AVE
PHOENIX, AZ
ZIP 85015-056
Phone: (602) 864-8800

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.

The CLIA number assigned to this NPI record is 03D0928912 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/17/2014 and was last updated on 11/10/2014.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.