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Organization

AZURE HEALTHCARE OF ARIZONA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS CLOUSE MD (MEMBER MANAGER)
(480) 899-4333
Entity
Organization

Contact information

Practice address
2425 S STEARMAN DR, CHANDLER, AZ 85286-5039
(480) 899-4333
(480) 899-7219
Mailing address
2425 S STEARMAN DR, CHANDLER, AZ 85286-5039
(480) 899-4333
(480) 899-7219

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
111N00000X
Chiropractor
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
207X00000X
Orthopaedic Surgery Physician
Primary
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
225100000X
Physical Therapist
363A00000X
Physician Assistant

Other

Enumeration date
01/18/2019
Last updated
07/10/2023
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