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PREMIER EAR NOSE AND THROAT SURGEONS LTD NPI 1265651947


NPI Information

NPI: 1265651947
Provider Name: PREMIER EAR, NOSE AND THROAT SURGEONS, LTD

Former Legal Business Name: VALLEY EAR, NOSE AND THROAT SURGEONS

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
9250 N 3RD ST
STE. 3025
PHOENIX, AZ
ZIP 85020
Phone: (602) 678-5001
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PREMIER EAR, NOSE AND THROAT SURGEONS, LTD is an otolaryngology in Phoenix, AZ. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. PREMIER EAR, NOSE AND THROAT SURGEONS, LTD NPI is 1265651947. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Valley Ear, Nose And Throat Surgeons.

The provider's business location address is:

9250 N 3RD ST
STE. 3025
PHOENIX, AZ
ZIP 85020-412
Phone: (602) 678-5001
Fax: (602) 678-4787

The provider's authorized official is Kevin Edward Kelly .
The authorized official title is President and has the following contact phone number (602) 678-5001.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 7/30/2010.


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
1207Y00000XOtolaryngologyYes

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
1E59276MEDICARE UPINARIZONA
2H34704MEDICARE UPINARIZONA
3364935MEDICAIDARIZONA
4755879MEDICAIDARIZONA
5Z116968MEDICARE PINARIZONA

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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