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ARIZONA CENTER FOR FUNTIONAL MEDICINE NPI 1821363342


NPI Information

NPI: 1821363342
Provider Name: ARIZONA CENTER FOR FUNTIONAL MEDICINE
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 03D1076424

Address:
16421 N TATUM BLVD
SUITE, 203
PHOENIX, AZ
ZIP 85032
Phone: (602) 485-8000
Get Directions

ARIZONA CENTER FOR FUNTIONAL MEDICINE is a chiropractor in Phoenix, AZ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ARIZONA CENTER FOR FUNTIONAL MEDICINE NPI is 1821363342. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16421 N TATUM BLVD
SUITE, 203
PHOENIX, AZ
ZIP 85032-454
Phone: (602) 485-8000
Fax: (602) 485-8010

The provider's authorized official is Phillip James Fierro .
The authorized official title is President/owner and has the following contact phone number (602) 485-8000.

The CLIA number assigned to this NPI record is 03D1076424 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2012 and was last updated on 3/16/2012.


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
1111N00000XChiropractorARIZONAYes

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
1U58747MEDICARE UPINARIZONA

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

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.