Healthcare Provider Details

I. General information

NPI: 1497675870
Provider Name (Legal Business Name): ARIZONA ARTHRITIS & RHEUMATOLOGY ASSOCIATES P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 INJO DR STE 102
LAKE HAVASU CITY AZ
86403-5874
US

IV. Provider business mailing address

4550 E BELL RD STE 170
PHOENIX AZ
85032-9385
US

V. Phone/Fax

Practice location:
  • Phone: 480-443-8400
  • Fax:
Mailing address:
  • Phone: 480-443-8400
  • Fax: 480-443-8697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIJENI CARRASCO
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 480-781-2285