ARIZONA WELLNESS MEDICAL LLC NPI 1972657062

NPI Information

NPI: 1972657062
Provider Name: ARIZONA WELLNESS MEDICAL, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5750 W THUNDERBIRD RD STE E580
GLENDALE, AZ
ZIP 85306
Phone: (623) 412-9355
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ARIZONA WELLNESS MEDICAL, LLC is a general practice in Glendale, AZ. ARIZONA WELLNESS MEDICAL, LLC NPI is 1972657062. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5750 W THUNDERBIRD RD STE E580
GLENDALE, AZ
ZIP 85306-671
Phone: (623) 412-9355
Fax: (623) 412-9356

The provider's authorized official is Amy J. Archer .
The authorized official title is Doctor and has the following contact phone number (623) 412-9355.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		3991	ARIZONA	Yes

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

NPI Synchronization or Removal

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