Healthcare Provider Details

I. General information

NPI: 1447351879
Provider Name (Legal Business Name): ARTHROCARE ARTHRITIS CARE AND RESEARCH, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 12/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 E BASELINE RD SUITE 440
GILBERT AZ
85234-2471
US

IV. Provider business mailing address

2451 E BASELINE RD SUITE 440
GILBERT AZ
85234-2471
US

V. Phone/Fax

Practice location:
  • Phone: 480-834-6576
  • Fax: 480-844-9237
Mailing address:
  • Phone: 480-834-6576
  • Fax: 480-844-9237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J FAIRFAX
Title or Position: PRESIDENT
Credential: D.O.
Phone: 480-834-6576