Healthcare Provider Details

I. General information

NPI: 1366489254
Provider Name (Legal Business Name): ARIZONA ARTHRITIS & RHEUMATOLOGY ASSOCIATES P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 02/08/2024
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 E. BELL ROAD SUITE 172
PHOENIX AZ
85032-9385
US

IV. Provider business mailing address

4550 E. BELL ROAD SUITE 172
PHOENIX AZ
85032-9385
US

V. Phone/Fax

Practice location:
  • Phone: 480-443-8400
  • Fax: 480-443-8697
Mailing address:
  • Phone: 480-443-8400
  • Fax: 480-443-8697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number40310
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC PETERS
Title or Position: MD
Credential:
Phone: 480-443-8400