Organization
ARIZONA CLINIC OF GASTROENTEROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA R PEIRSON CPC (BILLING MANAGER)
(877) 283-4714
Entity
Organization
Contact information
Practice address
13934 N 59TH AVE, SUITE 160, GLENDALE, AZ 85306-4167
(877) 283-4714
(623) 444-5495
Mailing address
PO BOX 5819, PEORIA, AZ 85385-5819
(877) 283-4714
(623) 444-5495
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
31649
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469524
—
AZ
Enumeration date
07/12/2009
Last updated
04/09/2010
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