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Contact Information

ARIZONA INTERVENTIONAL MEDICAL GROUP PC
2338 W ROYAL PALM RD
SUITE J
PHOENIX, AZ85021-9339
 Phone: 630-725-2768
 Fax: 877-219-4810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for ARIZONA INTERVENTIONAL MEDICAL GROUP PC

NPI # 1053615021
LBN Legal business name ARIZONA INTERVENTIONAL MEDICAL GROUP PC
Authorized official J KING - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2011
Last updated 01/05/2011 - About 15 years ago
Identifiers
AZ License # 42646
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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