MEDICARE: DIGESTIVE HEALTH SPECIALISTS ARIZONA PC

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	291U00000X	Clinical Medical Laboratory
2	207RG0100X	Gastroenterology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407821770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGESTIVE HEALTH SPECIALISTS ARIZONA PC

Provider Business Mailing Address
First Line	:	PO BOX 11128
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98411-0128
Country	:	US
Telephone Number	:	253-272-8148
Fax Number	:	253-404-0506

Provider Business Practice Location Address
First Line	:	8573 E PRINCESS DR
Second Line	:	STE. B215
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-7819
Country	:	US
Telephone Number	:	480-563-5757
Fax Number	:	480-563-5851

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	KARI FISCHER
Credential	:
Telephone Number	:	480-563-5757

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	05/04/2023

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