Healthcare Provider Details

I. General information

NPI: 1811555014
Provider Name (Legal Business Name): PINNACLE ENT & ALLERGY CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16841 N 31ST AVE BLDG 2
PHOENIX AZ
85053-3029
US

IV. Provider business mailing address

16841 N 31ST AVE BLDG 2
PHOENIX AZ
85053-3029
US

V. Phone/Fax

Practice location:
  • Phone: 602-843-4844
  • Fax:
Mailing address:
  • Phone: 602-843-4844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN S RIZZO
Title or Position: PRESIDENT/PHYSICIAN
Credential: D.O.
Phone: 602-843-4844