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PINNACLE PEAK INTEGRATED CARE NPI 1982366118


NPI Information

NPI: 1982366118
Provider Name: PINNACLE PEAK INTEGRATED CARE
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 03D2105291

Address:
8070 E MORGAN TRL STE 125
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 750-1200
Get Directions

PINNACLE PEAK INTEGRATED CARE is an addiction medicine family medicine in Scottsdale, AZ. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. PINNACLE PEAK INTEGRATED CARE NPI is 1982366118. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8070 E MORGAN TRL STE 125
SCOTTSDALE, AZ
ZIP 85258-228
Phone: (480) 750-1200

The provider's authorized official is Tyler Tisdale .
The authorized official title is Ceo and has the following contact phone number (480) 430-6744.

The CLIA number assigned to this NPI record is 03D2105291 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 10/5/2021.


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
1207QA0401XFamily MedicineAddiction 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

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