Healthcare Provider Details

I. General information

NPI: 1881505006
Provider Name (Legal Business Name): ARIZONA AIRWAY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 W THUNDERBIRD RD BLDG G
GLENDALE AZ
85306-4660
US

IV. Provider business mailing address

7548 W ELECTRA LN
PEORIA AZ
85383-2247
US

V. Phone/Fax

Practice location:
  • Phone: 573-489-5145
  • Fax: 623-301-8548
Mailing address:
  • Phone: 573-489-5145
  • Fax: 623-301-8548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADAM BOSAK
Title or Position: OWNER
Credential: MD
Phone: 573-489-5145