MEDICARE: HONORHEALTH AMBULATORY

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	261QI0500X	Infusion Therapy Clinic/Center
2	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1356926448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONORHEALTH AMBULATORY

Provider Business Mailing Address
First Line	:	2500 W UTOPIA RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-4171
Country	:	US
Telephone Number	:	480-587-5314
Fax Number	:

Provider Business Practice Location Address
First Line	:	8405 N PIMA CENTER PARKWAY
Second Line	:	STE 201
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4638
Country	:	US
Telephone Number	:	480-882-7470
Fax Number	:

Authorized Official
Title or Position	:	EVP/CPE
Name	:	JOHN NEIL
Credential	:
Telephone Number	:	480-587-5123

Provider Enumeration Date	:	03/10/2021
Last Update Date	:	04/05/2021

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Directions to “HONORHEALTH AMBULATORY ” Practice Location

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