BETHANY MEDICAL NPI 1427105311

NPI Information

NPI: 1427105311
Provider Name: BETHANY MEDICAL
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5270 N 59TH AVE
SUITE 11
GLENDALE, AZ
ZIP 85301
Phone: (623) 847-9800
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BETHANY MEDICAL is a general practice in Glendale, AZ. BETHANY MEDICAL NPI is 1427105311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5270 N 59TH AVE
SUITE 11
GLENDALE, AZ
ZIP 85301-762
Phone: (623) 847-9800
Fax: (623) 847-9898

The provider's authorized official is Richard A Ayiyi .
The authorized official title is Ceo and has the following contact phone number (602) 301-0214.

The enumeration date for this NPI number is 1/4/2007 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				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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