Basic Information
| Provider Information | |||||||||
| NPI: | 1346734944 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES AZ PLLC | ||||||||
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| OtherOrganizationName: | AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES AZ P LLC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2255 GLADES RD STE 228W | ||||||||
| Address2: | |||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334317391 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5616997101 | ||||||||
| FaxNumber: | 5616586142 | ||||||||
| Practice Location | |||||||||
| Address1: | 13065 W MCDOWELL RD STE C105 | ||||||||
| Address2: | |||||||||
| City: | AVONDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853926445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6322493838 | ||||||||
| FaxNumber: | 6232495583 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2018 | ||||||||
| LastUpdateDate: | 06/18/2018 | ||||||||
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| AuthorizedOfficialLastName: | GARRETT | ||||||||
| AuthorizedOfficialFirstName: | KATHRYN | ||||||||
| AuthorizedOfficialMiddleName: | NELL | ||||||||
| AuthorizedOfficialTitleorPosition: | EVP | ||||||||
| AuthorizedOfficialTelephone: | 5616997101 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.