Provider Demographics
NPI:1588818488
Name:AMERICAN MEDICAL SERVICES
Entity Type:Organization
Organization Name:AMERICAN MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORMIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-267-9500
Mailing Address - Street 1:2633 E INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-6759
Mailing Address - Country:US
Mailing Address - Phone:602-267-9500
Mailing Address - Fax:602-865-1527
Practice Address - Street 1:2633 E INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 250
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6759
Practice Address - Country:US
Practice Address - Phone:602-267-9500
Practice Address - Fax:602-865-1527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty