Healthcare Provider Details

I. General information

NPI: 1437137072
Provider Name (Legal Business Name): NAZ HOSPITALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 WILLOW CREEK RD
PRESCOTT AZ
86304
US

IV. Provider business mailing address

PO BOX 11720
PRESCOTT AZ
86304
US

V. Phone/Fax

Practice location:
  • Phone: 928-771-5487
  • Fax: 928-771-5471
Mailing address:
  • Phone: 928-771-5478
  • Fax: 928-771-5471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JIM ROGERS
Title or Position: CEO
Credential:
Phone: 928-771-5478