Healthcare Provider Details

I. General information

NPI: 1316841554
Provider Name (Legal Business Name): ACUTE TRAUMA CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 W BUCKEYE RD STE 307
PHOENIX AZ
85003-2650
US

IV. Provider business mailing address

515 W BUCKEYE RD STE 307
PHOENIX AZ
85003-2650
US

V. Phone/Fax

Practice location:
  • Phone: 480-257-1971
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MUHAMMAD JAURA
Title or Position: AUTHORIZE OFFICIAL
Credential:
Phone: 248-225-4492