Organization
GERIATRIC SPECIALTIES OF ARIZONA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE RODRIGUEZ (OFFICE MANAGER)
(602) 864-8800
Entity
Organization
Contact information
Practice address
6838 N 23RD AVE, PHOENIX, AZ 85015-1056
(602) 864-8800
(602) 864-1448
Mailing address
6838 N 23RD AVE, PHOENIX, AZ 85015-1056
(602) 864-8800
(602) 864-1448
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16113
AZ
207R00000X
Internal Medicine Physician
Primary
19651
AZ
207R00000X
Internal Medicine Physician
30953
AZ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
31629
AZ
Other
Enumeration date
09/14/2005
Last updated
11/03/2025
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