Healthcare Provider Details

I. General information

NPI: 1750550265
Provider Name (Legal Business Name): ARROWHEAD FAMILY CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 09/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6320 W UNION HILLS DR STE A210
GLENDALE AZ
85308-7212
US

IV. Provider business mailing address

6320 W UNION HILLS DR STE A210
GLENDALE AZ
85308-7212
US

V. Phone/Fax

Practice location:
  • Phone: 623-362-8866
  • Fax: 623-362-8867
Mailing address:
  • Phone: 623-362-8866
  • Fax: 623-362-8867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. NED D STOLZBERG
Title or Position: PHYSICIAN/OWNER/PRESIDENT
Credential: M.D.
Phone: 623-362-8866