Provider Demographics
NPI:1528405263
Name:AMERICAN PHYSICAL MEDICINE INC
Entity Type:Organization
Organization Name:AMERICAN PHYSICAL MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GENET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-946-3399
Mailing Address - Street 1:8417 E MCDOWELL RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-3917
Mailing Address - Country:US
Mailing Address - Phone:480-946-3399
Mailing Address - Fax:480-946-2559
Practice Address - Street 1:8417 E MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-3917
Practice Address - Country:US
Practice Address - Phone:480-946-3399
Practice Address - Fax:480-946-2559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty