Provider Demographics
NPI:1649600230
Name:MULTISPECIALTY GROUP OF ARIZONA LLC
Entity Type:Organization
Organization Name:MULTISPECIALTY GROUP OF ARIZONA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:TOWNS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-432-8813
Mailing Address - Street 1:9382 E BAHIA DR
Mailing Address - Street 2:STE B202
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1580
Mailing Address - Country:US
Mailing Address - Phone:602-432-8813
Mailing Address - Fax:480-421-9899
Practice Address - Street 1:9382 E BAHIA DR
Practice Address - Street 2:STE B202
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1580
Practice Address - Country:US
Practice Address - Phone:602-432-8813
Practice Address - Fax:480-421-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ41375207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty