Organization
CAMELBACK MOUNTAIN MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD GRIFFIN CIPOLLA DO (OWNER/PRESIDENT)
(602) 266-4383
Entity
Organization
Contact information
Practice address
120 E MONTEREY WAY, PHOENIX, AZ 85012-2618
(602) 266-4383
(602) 266-4384
Mailing address
120 E MONTEREY WAY, PHOENIX, AZ 85012-2618
(602) 266-4383
(602) 266-4384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2811
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341769
—
AZ
Enumeration date
11/02/2012
Last updated
11/02/2012
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