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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GERIATRIC SPECIALTIES OF ARIZONA PC

Deactivated Organization

Non-Pharmacy Dispensing Site · PHOENIX, AZ

This NPI has been deactivated. The record was deactivated on May 28, 2014. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1649690603
Provider Type
Organization
NPI Issued
Apr 17, 2014 (0.11232876712329 yrs)
Last Updated
Nov 10, 2014
Deactivated
May 28, 2014
License
19651 (AZ)

Practice Information

Address
6838 N 23RD AVE
PHOENIX, AZ, 850151056
Browse AZ providers · Browse ZIP 85015
Phone
6028648800
Primary Specialty
Non-Pharmacy Dispensing Site
332900000X

Other Non-Pharmacy Dispensing Site Organizations in PHOENIX, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.