Healthcare Provider Details

I. General information

NPI: 1902246242
Provider Name (Legal Business Name): A2Z FAMILY HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2013
Last Update Date: 07/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1824 W PLATA AVE
MESA AZ
85202-8040
US

IV. Provider business mailing address

1824 W PLATA AVE
MESA AZ
85202-8040
US

V. Phone/Fax

Practice location:
  • Phone: 480-777-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW ALTMAN
Title or Position: FOUNDER
Credential:
Phone: 480-777-7800