Provider Demographics
NPI:1134314420
Name:GENERAL PRACTICE ASSOCIATES, P.C
Entity Type:Organization
Organization Name:GENERAL PRACTICE ASSOCIATES, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ARMOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:623-939-8916
Mailing Address - Street 1:7200 W BELL RD STE G103
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8554
Mailing Address - Country:US
Mailing Address - Phone:623-939-8916
Mailing Address - Fax:623-486-8973
Practice Address - Street 1:7200 W BELL RD STE G103
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8554
Practice Address - Country:US
Practice Address - Phone:623-939-8916
Practice Address - Fax:623-486-8973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0641208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZC98127Medicare UPIN