MEDICARE: AMBULATORY MEDICAL ASSOCIATES,PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	32707	AZ

General Provider Information

NPI Number	:	1326375767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBULATORY MEDICAL ASSOCIATES,PLLC

Provider Business Mailing Address
First Line	:	8433 N BLACK CANYON HWY
Second Line	:	SUITE 130
City	:	PHOENIX
State	:	AZ
Zip	:	85021-4873
Country	:	US
Telephone Number	:	602-687-8189
Fax Number	:	877-822-5250

Provider Business Practice Location Address
First Line	:	8433 N BLACK CANYON HWY
Second Line	:	SUITE 130
City	:	PHOENIX
State	:	AZ
Zip	:	85021-4873
Country	:	US
Telephone Number	:	602-687-8189
Fax Number	:	877-822-5250

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHRISTOPHER S RAY
Credential	:	MD
Telephone Number	:	602-687-8189

Provider Enumeration Date	:	11/05/2009
Last Update Date	:	08/20/2012

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