Healthcare Provider Details

I. General information

NPI: 1689996886
Provider Name (Legal Business Name): ARTHRITIS CARE SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2010
Last Update Date: 02/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N 12TH ST #618
PHOENIX AZ
85006-2848
US

IV. Provider business mailing address

1300 N 12TH ST #618
PHOENIX AZ
85006-2848
US

V. Phone/Fax

Practice location:
  • Phone: 602-258-1231
  • Fax: 602-340-9607
Mailing address:
  • Phone: 602-258-1231
  • Fax: 602-340-9607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number9295
License Number StateAZ

VIII. Authorized Official

Name: CATHERINE HARRINGTON
Title or Position: BILLING MANAGER
Credential:
Phone: 928-333-3584