Healthcare Provider Details

I. General information

NPI: 1033908033
Provider Name (Legal Business Name): NPHXMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 E UNION HILLS DR STE 201
PHOENIX AZ
85050-3454
US

IV. Provider business mailing address

3120 E UNION HILLS DR STE 201
PHOENIX AZ
85050-3454
US

V. Phone/Fax

Practice location:
  • Phone: 602-497-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SANDRA WARSKOW
Title or Position: ACCOUNT MANAGER
Credential:
Phone: 602-790-8102