PREMISE HEALTH OF ARIZONA MEDICAL P.C. NPI 1164031365

NPI Information

PREMISE HEALTH OF ARIZONA MEDICAL, P.C. is a multi-specialty clinic center in Phoenix, AZ. PREMISE HEALTH OF ARIZONA MEDICAL, P.C. NPI is 1164031365. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthier You Clinic.

The provider's business location address is:

45 E ROANOKE AVE
STE 100
PHOENIX, AZ
ZIP 85004
Phone: (623) 552-3745
Fax: (623) 321-9606

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 03D2225564 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2020 and was last updated on 8/23/2022.

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:

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