MEDICARE: PHOENIX MEDICAL SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1316205057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHOENIX MEDICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2824 E INDIAN SCHOOL RD
Second Line	:	#5
City	:	PHOENIX
State	:	AZ
Zip	:	85016-6863
Country	:	US
Telephone Number	:	602-840-0056
Fax Number	:	602-840-4056

Provider Business Practice Location Address
First Line	:	2824 E INDIAN SCHOOL RD
Second Line	:	#5
City	:	PHOENIX
State	:	AZ
Zip	:	85016-6863
Country	:	US
Telephone Number	:	602-840-0056
Fax Number	:	602-840-4056

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. YASMIN BURKE
Credential	:	DC
Telephone Number	:	480-926-7800

Provider Enumeration Date	:	05/01/2012
Last Update Date	:	05/01/2012

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Directions to “PHOENIX MEDICAL SOLUTIONS LLC ” Practice Location

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