Organization
ARIZONA BIOLOGIC INFUSION LLC
Active
Parent organization
ARIZONA ARTHRITIS CLINIC,PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA ARTHRITIS CLINIC,PLLC
Authorized official
MR. AMER AL-KHOUDARI MD (MEDICAL DIRECTOR)
(480) 815-1100
Entity
Organization
Contact information
Practice address
604 W WARNER RD STE C4, CHANDLER, AZ 85225-2906
(480) 372-8200
(480) 372-8222
Mailing address
604 W WARNER RD STE C4, CHANDLER, AZ 85225-2906
(480) 372-8200
(480) 372-8222
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002601
—
AZ
05
—
069024
—
AZ
05
—
092299
—
AZ
Enumeration date
07/29/2020
Last updated
05/06/2021
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