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PHYSICIAN UNITED LLC NPI 1174160329


NPI Information

NPI: 1174160329
Provider Name: PHYSICIAN UNITED, LLC

Doing Business As: APRICUS MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 03D2229996

Address:
12361 W BOLA DR STE 100
SURPRISE, AZ
ZIP 85378
Phone: (602) 675-9005
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PHYSICIAN UNITED, LLC is a general practice in Surprise, 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 PHYSICIAN UNITED, LLC NPI is 1174160329. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Apricus Medical Group.

The provider's business location address is:

12361 W BOLA DR STE 100
SURPRISE, AZ
ZIP 85378-021
Phone: (602) 675-9005

The provider's authorized official is Timothy Cozatt .
The authorized official title is Cfo and has the following contact phone number (602) 675-9005.

The CLIA number assigned to this NPI record is 03D2229996 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2019 and was last updated on 11/25/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RG0100XInternal MedicineGastroenterologyNo
4208D00000XGeneral PracticeYes

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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