Basic Information
Provider Information
NPI: 1184937211
EntityType: 2
ReplacementNPI:  
OrganizationName: AMA RADIOLOGY ASSOCIATES, LLC
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Mailing Information
Address1: PO BOX 27340
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850617340
CountryCode: US
TelephoneNumber: 6029439200
FaxNumber: 6022163000
Practice Location
Address1: 2050 W SOUTHERN AVE
Address2:  
City: APACHE JUNCTION
State: AZ
PostalCode: 851207305
CountryCode: US
TelephoneNumber: 4802373230
FaxNumber: 4802373231
Other Information
ProviderEnumerationDate: 07/18/2010
LastUpdateDate: 08/10/2012
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AuthorizedOfficialLastName: MCARTHUR
AuthorizedOfficialFirstName: ROSS
AuthorizedOfficialMiddleName: ANDREW
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 4802546151
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0204X  N193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
2085R0202X  Y193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
26994001AZAHCCCSOTHER


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