PREMISE HEALTH OF ARIZONA MEDICAL, P.C.; NPI #1225397227

Contact Information

PREMISE HEALTH OF ARIZONA MEDICAL, P.C.

301 W JEFFERSON ST STE 201
PHOENIX, AZ 85003-2195

Phone: 480-347-4791
Fax: 480-347-4792
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Urgent Care	261QU0200X
Occupational Medicine	261QX0100X
Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for PREMISE HEALTH OF ARIZONA MEDICAL, P.C.

NPI #	`1225397227`
LBN Legal business name	PREMISE HEALTH OF ARIZONA MEDICAL, P.C.
Authorized official	JON LEIZMAN - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/10/2012
Last updated	08/23/2022 - 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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