ARIZONA WELLNESS MEDICAL, LLC – NPI #1972657062
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

ARIZONA WELLNESS MEDICAL, LLC is a provider located in GLENDALE, AZ. NPPES has assigned the NPI number 1972657062 to ARIZONA WELLNESS MEDICAL, LLC on January 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 ARIZONA WELLNESS MEDICAL, LLC below.

NPI Profile for
ARIZONA WELLNESS MEDICAL, LLC

NPI Number
1972657062
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARIZONA WELLNESS MEDICAL, LLC
Primary location
5750 W THUNDERBIRD RD STE E580
GLENDALE, AZ 85306-4671
Phone: (623) 412-9355 Fax: (623) 412-9356
Mailing address
PO BOX 279
PEORIA, AZ 85380-0279
Phone: (623) 412-9355 Fax: (623) 412-9356
Organization Subpart
No
Authorized Official
AMY ARCHER
DOCTOR
Phone: (623) 412-9355
Updated
Taxonomy Code(s)

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
208D00000X
- General Practice (Primary)
AZ 3991

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.