Provider Demographics
NPI:1568988871
Name:ADVANCED MINIMALLY INVASIVE GI ASSOCIATES
Entity Type:Organization
Organization Name:ADVANCED MINIMALLY INVASIVE GI ASSOCIATES
Other - Org Name:AMIGA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-219-6662
Mailing Address - Street 1:8761 E BELL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1316
Mailing Address - Country:US
Mailing Address - Phone:480-219-6662
Mailing Address - Fax:480-219-6596
Practice Address - Street 1:3501 N SCOTTSDALE RD STE 150
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5632
Practice Address - Country:US
Practice Address - Phone:480-219-6662
Practice Address - Fax:480-219-6662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty