Healthcare Provider Details

I. General information

NPI: 1356254346
Provider Name (Legal Business Name): AILEEN FRANCES HIRSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 N ROOSEVELT AVE
CHANDLER AZ
85226-2617
US

IV. Provider business mailing address

12233 W PIONEER ST
TOLLESON AZ
85353-2756
US

V. Phone/Fax

Practice location:
  • Phone: 480-677-8282
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number234187
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: