TAZ GLENDALE LLC NPI 1528426806

NPI Information

TAZ GLENDALE, LLC is a specialist in Glendale, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TAZ GLENDALE, LLC NPI is 1528426806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5605 W EUGIE AVE
SUITE 111
GLENDALE, AZ
ZIP 85304-272
Phone: (480) 306-8195
Fax: (480) 306-8196

The provider's authorized official is Andrew M Elliott .
The authorized official title is Coo and has the following contact phone number (323) 369-0069.

The enumeration date for this NPI number is 2/2/2016 and was last updated on 6/7/2016.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.