Provider Demographics
NPI:1184160004
Name:PHOENIX MEDICAL LEGAL SERVICES, INC.
Entity type:Organization
Organization Name:PHOENIX MEDICAL LEGAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:480-664-6644
Mailing Address - Street 1:8426 E SHEA BLVD, SUITE 19
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-664-6739
Mailing Address - Fax:480-664-6742
Practice Address - Street 1:8426 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-664-6739
Practice Address - Fax:480-664-6742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes209800000XAllopathic & Osteopathic PhysiciansLegal MedicineGroup - Multi-Specialty