Provider Demographics
NPI:1407476195
Name:ARIZONA BREATHE FREE SINUS & ALLERGY CENTERS
Entity Type:Organization
Organization Name:ARIZONA BREATHE FREE SINUS & ALLERGY CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROSIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-210-5491
Mailing Address - Street 1:9377 E BELL RD STE 207
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1504
Mailing Address - Country:US
Mailing Address - Phone:480-306-6739
Mailing Address - Fax:480-550-6248
Practice Address - Street 1:9377 E BELL RD STE 207
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1504
Practice Address - Country:US
Practice Address - Phone:805-210-5491
Practice Address - Fax:805-842-2648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty