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Organization

ARIZONA HOSPITAL SPECIALISTS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMAL OTULA (ADMINISTRATOR)
(214) 364-0181
Entity
Organization

Contact information

Practice address
10238 E HAMPTON AVE, 205, MESA, AZ 85209-3316
(480) 766-9479
Mailing address
PO BOX 830822, RICHARDSON, TX 75083-0822

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4446
AZ
207Q00000X
Family Medicine Physician
4446
AZ
207R00000X
Internal Medicine Physician
4446
AZ
207X00000X
Orthopaedic Surgery Physician
4446
208D00000X
General Practice Physician
4446
AZ

Other

Enumeration date
04/03/2014
Last updated
04/03/2014
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