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PRECISION TRIALS AZ LLC NPI 1881049021


NPI Information

NPI: 1881049021
Provider Name: PRECISION TRIALS AZ, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 03D2110575

Address:
2445 W SILVER SAGE LN
PHOENIX, AZ
ZIP 85085
Phone: (623) 824-5239
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PRECISION TRIALS AZ, LLC is an internal medicine in Phoenix, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRECISION TRIALS AZ, LLC NPI is 1881049021. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2445 W SILVER SAGE LN
PHOENIX, AZ
ZIP 85085-740
Phone: (623) 824-5239
Fax: (623) 847-8838

The provider's authorized official is Deborah Ann Gonzales .
The authorized official title is Director Of Operations and has the following contact phone number (602) 931-4507.

The CLIA number assigned to this NPI record is 03D2110575 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2016 and was last updated on 4/25/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyNo
2207R00000XInternal MedicineYes

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

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.