FULL LIFE MEDICAL NPI 1316765753

NPI Information

  • NPI: 1316765753
  • Provider Name: FULL LIFE MEDICAL
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 9475 E IRONWOOD SQUARE DR STE 102
    SCOTTSDALE, AZ
    ZIP 85258
  • Phone: (480) 888-5029

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NPI Details

FULL LIFE MEDICAL is a primary care clinic center in Scottsdale, AZ. FULL LIFE MEDICAL NPI is 1316765753. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9475 E IRONWOOD SQUARE DR STE 102
SCOTTSDALE, AZ
ZIP 85258-576
Phone: (480) 888-5029

The provider's authorized official is Ivorie Coleman .
The authorized official title is Physician and has the following contact phone number (480) 888-5029.

The enumeration date for this NPI number is 10/2/2024 and was last updated on 10/2/2024.

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
1207R00000XInternal MedicineNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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