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Contact Information

ROSE MEDICAL PAVILION PLLC
22044 N 44TH ST STE 200
PHOENIX, AZ85050-6104
 Phone: 602-341-5035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oncology

261QX0200X
 

Clinic/Center

261Q00000X
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for ROSE MEDICAL PAVILION PLLC

NPI Number 1154101152
LBN Legal business name ROSE MEDICAL PAVILION PLLC
Authorized official TAMARA ZACH - (PHYSICIAN OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2023
Last updated 01/12/2026 - About 5 months 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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