Healthcare Provider Details

I. General information

NPI: 1891910840
Provider Name (Legal Business Name): BRIAN K MCARTHUR PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 01/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 W PEORIA AVE SUITEC-600
PHOENIX AZ
85029-4608
US

IV. Provider business mailing address

14275 N 87TH ST STE 110
SCOTTSDALE AZ
85260-3696
US

V. Phone/Fax

Practice location:
  • Phone: 801-225-8484
  • Fax: 801-225-6170
Mailing address:
  • Phone: 480-905-8485
  • Fax: 480-905-7274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number4673
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: