# LAURIE A FARRICIELLI MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAURIE A. FARRICIELLI MD, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528204005
- **Legal business name:** LAURIE A. FARRICIELLI MD, PC
- **Authorized official:** DR. LAURIE A FARRICIELLI MD (PRESIDENT)
- **Authorized official phone:** (480) 860-0935

## Contact information

- **Practice address:** 6360 E. THOMAS RD., \#218, SCOTTSDALE, AZ 85251-7054
- **Practice address phone:** (480) 860-0935
- **Practice address fax:** (480) 860-6569
- **Mailing address:** P.O. BOX 14406, SCOTTSDALE, AZ 85267-4406
- **Mailing address phone:** (480) 860-0935
- **Mailing address fax:** (480) 860-6569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NI0900X | Internist Chiropractor | 21865 | AZ | — |
| 208M00000X | Hospitalist Physician | 21865 | AZ | Yes |

## Other

- **Enumeration date:** 01/05/2009
- **Last updated:** 01/05/2009