Healthcare Provider Details
I. General information
NPI: 1215335989
Provider Name (Legal Business Name): ARIZONA MEDICAL & INJURY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2014
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7125 GRAND MONTECITO PKWY STE 120
LAS VEGAS NV
89149-0261
US
IV. Provider business mailing address
3655 W ANTHEM WAY A109 BOX 272
ANTHEM AZ
85086-0430
US
V. Phone/Fax
- Phone: 623-773-2000
- Fax:
- Phone: 602-395-0718
- Fax: 602-343-7973
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 7346 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | 7346 |
| License Number State | AZ |
VIII. Authorized Official
Name:
SILVIA
STAMP
Title or Position: OWNER
Credential:
Phone: 623-773-2000