Arizona Medical Boutique, Llc in Phoenix - Public Health Or Welfare
Arizona Medical Boutique, Llc - NPI 1548462716
Arizona Medical Boutique, Llc is a Public Health Or Welfare in Phoenix, Arizona. Arizona Medical Boutique, Llc practices all healthcare services and medical treatments related to Public Health Or Welfare. The NPI Number for Arizona Medical Boutique, Llc is 1548462716. The last update date is 2020-08-22.
Arizona Medical Boutique, Llc's current location address is 35017 N 30th Dr, Phoenix, Arizona. You can contact this provider via phone number 4807660550 and fax number 6235817499. The mailing address for Arizona Medical Boutique, Llc is 35017 N 30th Dr, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arizona Medical Boutique, Llc |
|---|---|
| Address | 35017 N 30th Dr, Phoenix, Arizona |
| Phone Number | 4807660550 |
| Fax Number | 6235817499 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Oldehoeft Kristine Shuree |
| Credentials | PA-C |
| Telephone Number | 4807660550 |
NPI Number Detail
| NPI Number | 1548462716 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 35017 N 30th Dr |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850863224 |
| Phone Number | 4807660550 |
| Fax Number | 6235817499 |
Provider's Primary Taxonomy Detail
| Speciality | Public Health Or Welfare |
|---|---|
| Taxonomy | 251K00000X |
| Licence No | 3164 |
|
Definition: Government-funded agency providing population health, disease prevention, emergency preparedness and health education services. |
|
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What is the unique 10-digit identifier code issued to Arizona Medical Boutique, Llc by the Centers for Medicare & Medicaid Services?
The Arizona Medical Boutique, Llc has been assigned the NPI (National Provider Identifier) 1548462716 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Arizona Medical Boutique, Llc's facilities are situated?
The facilities of Arizona Medical Boutique, Llc are physically located at the following address: 35017 N 30Th Dr, Phoenix, AZ, 850863224.
What is Arizona Medical Boutique, Llc's area of expertise and its corresponding taxonomy classification?
The Arizona Medical Boutique, Llc's field of specialization is Public Health Or Welfare, and it falls under the taxonomy code 251K00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548462716 to Arizona Medical Boutique, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1548462716 to Arizona Medical Boutique, Llc on 2007-06-01.
As of what date were the details related to Arizona Medical Boutique, Llc most recently updated or revised?
The information pertaining to Arizona Medical Boutique, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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