Healthcare Provider Details
I. General information
NPI: 1659796985
Provider Name (Legal Business Name): ARIZONA HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2014
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4040 E CAMELBACK RD STE 155A
PHOENIX AZ
85018-8349
US
IV. Provider business mailing address
4040 E CAMELBACK RD STE 155A
PHOENIX AZ
85018-8349
US
V. Phone/Fax
- Phone: 602-956-2095
- Fax:
- Phone: 602-956-2095
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 202K00000X |
| Taxonomy | Phlebology Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
JOHN
J
RUSH
Title or Position: OWNER/PROVIDER
Credential: MD
Phone: 908-328-7289