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Contact Information

GASTROENTEROLOGY OF ARIZONA, PLLC
600 WEST HIGHWAY 260
SUITE #9
PAYSON, AZ85541
 Phone: 602-761-0707
 Fax: 520-231-9556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for GASTROENTEROLOGY OF ARIZONA, PLLC

NPI # 1386419000
LBN Legal business name GASTROENTEROLOGY OF ARIZONA, PLLC
Authorized official TRACY WADAS - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/22/2023
Last updated 05/13/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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