Healthcare Provider Details

I. General information

NPI: 1922532944
Provider Name (Legal Business Name): DISPATCHHEALTH-ARIZONA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2017
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4602 E UNIVERSITY DR STE 150
PHOENIX AZ
85034-7423
US

IV. Provider business mailing address

3825 N LAFAYETTE ST
DENVER CO
80205-3316
US

V. Phone/Fax

Practice location:
  • Phone: 520-442-2269
  • Fax:
Mailing address:
  • Phone: 303-500-1518
  • Fax: 720-598-0440

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: BRUCE ALLEN JOHNSON
Title or Position: OCG/AO
Credential:
Phone: 303-589-4149