Provider Demographics
NPI:1770722753
Name:ARIZONA PHYSICIAN ASSOCIATES, LLC
Entity type:Organization
Organization Name:ARIZONA PHYSICIAN ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTELIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-472-3023
Mailing Address - Street 1:895 S DOBSON RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5718
Mailing Address - Country:US
Mailing Address - Phone:480-899-0110
Mailing Address - Fax:480-899-6262
Practice Address - Street 1:895 S DOBSON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5718
Practice Address - Country:US
Practice Address - Phone:480-899-0110
Practice Address - Fax:480-899-6262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty