AZ MED GROUP LLC; NPI #1336667807

Contact Information

AZ MED GROUP LLC

10605 N HAYDEN RD STE G110
SCOTTSDALE, AZ 85260-5505

Phone: 602-237-6340
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Interventional Pain Medicine	208VP0014X	09	Physician/Interventional Pain Management

Indicates primary specialty

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NPI Profile & details for AZ MED GROUP LLC

NPI #	`1336667807`
LBN Legal business name	AZ MED GROUP LLC
Authorized official	THOMAS MOSHIRI - (ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/06/2017
Last updated	02/24/2022 - About 4 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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