Provider Demographics
NPI:1447558002
Name:DRX ARIZONA I, LLC.
Entity Type:Organization
Organization Name:DRX ARIZONA I, LLC.
Other - Org Name:DOCTORS EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEROMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SJOLSETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-248-6260
Mailing Address - Street 1:3931 E CAMELBACK RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2609
Mailing Address - Country:US
Mailing Address - Phone:602-687-7858
Mailing Address - Fax:
Practice Address - Street 1:3931 E CAMELBACK RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2609
Practice Address - Country:US
Practice Address - Phone:877-474-9379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care