ARIZONA PROACTIVE HEALTH AND MEDICINE; NPI #1447673868

Contact Information

ARIZONA PROACTIVE HEALTH AND MEDICINE

81 W GUADALUPE RD
GILBERT, AZ 85233-3321

Phone: 480-366-4496
Fax: 800-448-0729
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Urgent Care	261QU0200X
General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for ARIZONA PROACTIVE HEALTH AND MEDICINE

NPI # 1447673868

LBN Legal business name ARIZONA PROACTIVE HEALTH AND MEDICINE

Authorized official SEVOY FILLERUP - (CHEIF MEDICAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/22/2014

Last updated 02/21/2014 - About 12 years ago

Identifiers

AZ	License #	36126
AZ	License #	P18967986

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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