FLYING PIG OFFROAD PLLC NPI 1801539317

NPI Information

NPI: 1801539317
Provider Name: FLYING PIG OFFROAD PLLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
C/O DEBORA MCCLARY, M.D.
7776 W QUAIL AVE
PEORIA, AZ
ZIP 85382
Phone: (480) 707-9504
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FLYING PIG OFFROAD PLLC is a health service clinic center in Peoria, AZ. FLYING PIG OFFROAD PLLC NPI is 1801539317. The provider is registered as an organization entity type.

The provider's business location address is:

C/O DEBORA MCCLARY, M.D.
7776 W QUAIL AVE
PEORIA, AZ
ZIP 85382-322
Phone: (480) 707-9504
Fax: (602) 581-7764

The provider's authorized official is Debora Mcclary .
The authorized official title is Physician/owner and has the following contact phone number (480) 707-9504.

The enumeration date for this NPI number is 4/14/2022 and was last updated on 4/14/2022.

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	261QH0100X	Clinic/Center	Health Service			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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