National Provider Identifier Database

ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARIZONA LLC
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARIZONA, LLC
4315 E MAIN ST
MESA, AZ85205-8605
Phone: 480-870-7500
Fax: 480-906-2173
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Geriatric Medicine 207RG0300X
Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARIZONA, LLC

NPI Number 1558026880
Legal business name
LBN
ARCHWELL HEALTH PROFESSIONAL SERVICES OF ARIZONA, LLC
Authorized official AMY MODDESETTE - (SR. DIRECTOR, MANAGED CARE OPS)
Entity Organization
Organization subpart No
Enumeration date 11/02/2021
Last updated 03/11/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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