# ARIZONA INSTITUTE OF GERIATRIC MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467633784
- **Authorized official:** DR. DIANA B KOSS MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (602) 815-8887

## Contact information

- **Practice address:** 10503 W THUNDERBIRD BLVD, \#366, SUN CITY, AZ 85351-3022
- **Practice address phone:** (623) 815-8887
- **Practice address fax:** (623) 815-5374
- **Mailing address:** PO BOX 26048, SCOTTSDALE, AZ 85255-0117
- **Mailing address phone:** (623) 815-8887
- **Mailing address fax:** (623) 815-5374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 29375 | AZ | Yes |

## Other

- **Enumeration date:** 11/15/2007
- **Last updated:** 11/15/2007
