ATLANTIS MEDICAL SPECIALIST AZ, PLLC; NPI #1982954996

Contact Information

ATLANTIS MEDICAL SPECIALIST AZ, PLLC

11124 W CALIFORNIA AVE STE G
YOUNGTOWN, AZ 85363-1246

Phone: 623-583-2073
Fax: 623-583-1099
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pain Medicine	207LP2900X	05	Physician/Anesthesiology
Adult Medicine	207QA0505X	08	Physician/Family Practice
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Internal Medicine	207R00000X	11	Physician/Internal Medicine
Orthopaedic Surgery	207X00000X	02	Physician/General Surgery
Pain Medicine	208VP0000X	72	Physician/Pain Management
Surgery	208600000X	02	Physician/General Surgery
Urology	208800000X	34	Physician/Urology

Indicates primary specialty

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NPI Profile & details for ATLANTIS MEDICAL SPECIALIST AZ, PLLC

NPI Number 1982954996

LBN Legal business name ATLANTIS MEDICAL SPECIALIST AZ, PLLC

Authorized official DAVID TOWNS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/17/2012

Last updated 09/17/2012 - About 14 years ago

Identifiers

License #

41375

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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ATLANTIS MEDICAL SPECIALIST AZ, PLLC

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NPI Profile & details for ATLANTIS MEDICAL SPECIALIST AZ, PLLC

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