MEDICARE: ARIZONA JOINT SPECIALTY CENTER

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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1609601764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA JOINT SPECIALTY CENTER

Provider Business Mailing Address
First Line	:	4753 E CAMP LOWELL DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1256
Country	:	US
Telephone Number	:	520-269-7547
Fax Number	:

Provider Business Practice Location Address
First Line	:	4753 E CAMP LOWELL DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1256
Country	:	US
Telephone Number	:	520-269-7547
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	LAURIE PRIETO
Credential	:
Telephone Number	:	520-269-6629

Provider Enumeration Date	:	09/06/2024
Last Update Date	:	12/08/2025

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