CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC – NPI #1326585662
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC is a provider located in PHOENIX, AZ. NPPES has assigned the NPI number 1326585662 to CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC on January 25, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine
The NPI profile was previously updated about 7 years ago on Jul 02, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC below.
NPI Profile for
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
(more than 9 years ago)
PHOENIX, AZ 85037 Phone: (413) 584-2173 Fax:
NASHVILLE, TN 37214-3692 Phone: (615) 425-0220 Fax:
CFO
Phone: (615) 425-0220
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RA0401X - Internal Medicine / Addiction Medicine (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.