NPI 1356570378 · live from the CMS NPI Registry
Arizona Clinic Of Gastroenterology PC
Internal Medicine, Gastroenterology in Glendale, AZ. National Provider Identifier 1356570378, active.
NPI record
| NPI | 1356570378 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 13934 N 59th Ave, Suite 160, Glendale, AZ 85306 |
| Practice phone | 877-283-4714 |
| Mailing address | Po Box 5819, Peoria, AZ 85385 |
| Enumerated | July 12, 2009 |
| Last updated | April 9, 2010 |
| Authorized official | Sheila Peirson, Billing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 31649 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.