Provider Demographics
NPI:1063850725
Name:ARIZONA PHYSICIAN SPECIALISTS PC
Entity Type:Organization
Organization Name:ARIZONA PHYSICIAN SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:JOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-795-7256
Mailing Address - Street 1:10632 N SCOTTSDALE RD
Mailing Address - Street 2:B-225
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6164
Mailing Address - Country:US
Mailing Address - Phone:602-795-7256
Mailing Address - Fax:602-795-7257
Practice Address - Street 1:5620 W THUNDERBIRD RD
Practice Address - Street 2:STE B-3
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4636
Practice Address - Country:US
Practice Address - Phone:602-795-7256
Practice Address - Fax:602-795-7257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty