MEDICARE: DR. ARTHUR JASON DE LUIGI D.O., MHSA

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	208100000X	Physical Medicine & Rehabilitation Physician	007557	AZ
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	5343817-1204	UT

General Provider Information

NPI Number	:	1497861363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR JASON DE LUIGI D.O., MHSA

Provider Business Mailing Address
First Line	:	13400 E SHEA BLVD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85259-5499
Country	:	US
Telephone Number	:	480-301-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3533 CANYON DE FLORES STE A
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85650-5366
Country	:	US
Telephone Number	:	520-685-3336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	05/02/2024

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