ARIZONA MEDICAL CLINIC UNIVERSITY DRIVE LLC NPI 1588429765

NPI Information

  • NPI: 1588429765
  • Provider Name: ARIZONA MEDICAL CLINIC UNIVERSITY DRIVE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 03D2295454
  • Address: 761 E UNIVERSITY DR STE 101
    MESA, AZ
    ZIP 85203
  • Phone: (480) 508-6712

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NPI Details

ARIZONA MEDICAL CLINIC UNIVERSITY DRIVE, LLC is a family medicine in Mesa, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ARIZONA MEDICAL CLINIC UNIVERSITY DRIVE, LLC NPI is 1588429765. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

761 E UNIVERSITY DR STE 101
MESA, AZ
ZIP 85203-961
Phone: (480) 508-6712
Fax: (480) 572-1085

The provider's authorized official is Linda Som .
The authorized official title is Vp and has the following contact phone number (602) 274-2100.

The CLIA number assigned to this NPI record is 03D2295454 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2024 and was last updated on 2/16/2024.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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