Organization · NPI-2

Arizona Hospital Specialists, PLLC

Anesthesiology, Pain Medicine · Mesa, AZ

NPI number1881012144
StatusActive
Last updated in NPPESApr 3, 2014

Details

NPI
1881012144
Entity type
Organization (NPI-2)
Legal business name
Arizona Hospital Specialists, PLLC
Organization subpart
No
Enumeration date
Apr 3, 2014
Last updated
Apr 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207LP2900X Anesthesiology, Pain Medicine4446AZYes
207Q00000X Family Medicine4446AZ
207R00000X Internal Medicine4446AZ
207X00000X Orthopaedic Surgery4446–
208D00000X General Practice4446AZ

Practice location

10238 E Hampton Ave
205
Mesa, AZ 85209-3316

Phone 480-766-9479

Mailing address

Po Box 830822
Richardson, TX 75083-0822

Authorized official

Jamal Otula
Administrator
2143640181

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