# PHOENIX MEDICAL COLLABORATIVE LLC

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

## Provider details

- **NPI number:** 1821721119
- **Authorized official:** PATRICK SCIARA MD (OWNER)
- **Authorized official phone:** (602) 999-0960

## Contact information

- **Practice address:** 19829 N 27TH AVE, PHOENIX, AZ 85027-4001
- **Practice address phone:** (623) 505-6565
- **Practice address fax:** (623) 552-3759
- **Mailing address:** 42104 N VENTURE DR STE D118, ANTHEM, AZ 85086-3837
- **Mailing address phone:** (623) 271-8704
- **Mailing address fax:** (623) 552-3759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2022
- **Last updated:** 07/05/2022