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Contact Information

ARIZONA CRITICAL CARE SPECIALISTS, LLC
111 E DUNLAP AVE STE 1-482
PHOENIX, AZ85020-7806
 Phone: 602-609-2600
 Fax: 602-609-2601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ARIZONA CRITICAL CARE SPECIALISTS LLC · (Female)

NPI # 1770192437
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2020
Last updated 08/13/2025 - About 10 months ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Medicaid 079670
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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