Basic Information
| Provider Information | |||||||||
| NPI: | 1386796720 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SCOTTSDALE RHEUMATOLOGY LTD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10210 N 92ND ST | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852584509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4804516860 | ||||||||
| FaxNumber: | 4804516769 | ||||||||
| Practice Location | |||||||||
| Address1: | 10210 N 92ND ST | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852584509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4804516860 | ||||||||
| FaxNumber: | 4804516769 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/17/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | NARDELLA | ||||||||
| AuthorizedOfficialFirstName: | FRANCIS | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4804516860 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 20026 | AZ | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.