Provider Demographics
NPI:1750423844
Name:SUNVALLEY ARTHRITIS CENTER LTD
Entity type:Organization
Organization Name:SUNVALLEY ARTHRITIS CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHECHTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:623-566-3550
Mailing Address - Street 1:11022 N 28TH DR STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-5634
Mailing Address - Country:US
Mailing Address - Phone:623-566-3550
Mailing Address - Fax:623-566-3573
Practice Address - Street 1:6818 W THUNDERBIRD RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5025
Practice Address - Country:US
Practice Address - Phone:623-566-3550
Practice Address - Fax:623-566-3573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2376207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ65627OtherMEDICARE PTAN
AZ7057160001Medicare NSC