Healthcare Provider Details

I. General information

NPI: 1386796720
Provider Name (Legal Business Name): SCOTTSDALE RHEUMATOLOGY LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10210 N 92ND ST SUITE 202
SCOTTSDALE AZ
85258-4509
US

IV. Provider business mailing address

10210 N 92ND ST SUITE 202
SCOTTSDALE AZ
85258-4509
US

V. Phone/Fax

Practice location:
  • Phone: 480-451-6860
  • Fax: 480-451-6769
Mailing address:
  • Phone: 480-451-6860
  • Fax: 480-451-6769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number20026
License Number StateAZ

VIII. Authorized Official

Name: DR. FRANCIS A NARDELLA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 480-451-6860