Healthcare Provider Details

I. General information

NPI: 1245272426
Provider Name (Legal Business Name): ALL STAR HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 05/21/2021
Certification Date: 05/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6625 S RURAL RD STE. 104
TEMPE AZ
85283-3717
US

IV. Provider business mailing address

6625 S RURAL RD STE. 104
TEMPE AZ
85283-3717
US

V. Phone/Fax

Practice location:
  • Phone: 480-833-4515
  • Fax: 480-833-5078
Mailing address:
  • Phone: 480-833-4515
  • Fax: 480-833-5078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5633
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDRE M SILANO
Title or Position: OWNER
Credential: D.C.
Phone: 480-833-4515