NPI 1689614489 · live from the CMS NPI Registry
Arizona Gastroenterology And Liver Clinic,P.C.
Internal Medicine, Gastroenterology in Glendale, AZ. National Provider Identifier 1689614489, active.
NPI record
| NPI | 1689614489 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 5130 W Thunderbird Rd, Suite 3, Glendale, AZ 85306 |
| Practice phone | 602-993-3600 |
| Mailing address | Po Box 5130, Peoria, AZ 85385 |
| Enumerated | June 8, 2006 |
| Last updated | February 8, 2008 |
| Authorized official | Kulbir Bal, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.