IMD PHYSICIANS ARIZONA PLLC NPI 1629616727

NPI Information

NPI: 1629616727
Provider Name: IMD PHYSICIANS ARIZONA PLLC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
7250 N 16TH ST STE 104
PHOENIX, AZ
ZIP 85020
Phone: (602) 714-2815
Get Directions

IMD PHYSICIANS ARIZONA PLLC is an emergency medical services emergency medicine in Phoenix, AZ. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. IMD PHYSICIANS ARIZONA PLLC NPI is 1629616727. The provider is registered as an organization entity type.

The provider's business location address is:

7250 N 16TH ST STE 104
PHOENIX, AZ
ZIP 85020-214
Phone: (602) 714-2815

The provider's authorized official is Micah D Hale .
The authorized official title is Ceo and has the following contact phone number (831) 818-9833.

The enumeration date for this NPI number is 12/19/2019 and was last updated on 3/24/2020.

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	261QM1300X	Clinic/Center	Multi-Specialty			No
2	207PE0004X	Emergency Medicine	Emergency Medical Services			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: 4/28/2024

NPI Synchronization or Removal

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