Healthcare Provider Details

I. General information

NPI: 1609869908
Provider Name (Legal Business Name): AMERICAN PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 02/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 N CENTRAL AVE SUITE 1010
PHOENIX AZ
85004-4501
US

IV. Provider business mailing address

2020 N CENTRAL AVE SUITE 1010
PHOENIX AZ
85004-4501
US

V. Phone/Fax

Practice location:
  • Phone: 602-553-8400
  • Fax: 602-553-8408
Mailing address:
  • Phone: 602-553-8400
  • Fax: 602-553-8408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. KELLEY DILLINGHAM
Title or Position: PROVIDER ENROLLMENT SPECIALIST
Credential:
Phone: 360-789-2390