Organization
ARROWHEAD INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANIRA PAGAN CPA (OFFICE MANAGER)
(602) 564-0078
Entity
Organization
Contact information
Practice address
18275 N 59TH AVE STE 138, GLENDALE, AZ 85308-1253
(602) 564-0078
(602) 564-1154
Mailing address
18275 N 59TH AVE, SUITE 138, GLENDALE, AZ 85308-1260
(602) 564-0078
(602) 564-1154
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
23581
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382250
—
AZ
Enumeration date
07/16/2006
Last updated
01/04/2013
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