Healthcare Provider Details

I. General information

NPI: 1225089873
Provider Name (Legal Business Name): EMERGENCY & ACUTE CARE MEDICAL COMPANY - AZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E MCDOWELL RD
PHOENIX AZ
85006-2612
US

IV. Provider business mailing address

DEPT. 2912
LOS ANGELES CA
90084-0001
US

V. Phone/Fax

Practice location:
  • Phone: 602-239-2000
  • Fax:
Mailing address:
  • Phone: 619-285-5990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ARTHUR LAWRENCE GRUEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 858-759-4765