Organization
ARIZONA RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLEE RAVENSCROFT HOFFMAN PHD (OWNER)
(602) 977-1177
Entity
Organization
Contact information
Practice address
4700 N 51ST AVE, SUITE 2, PHOENIX, AZ 85031-1237
(623) 849-3800
(623) 846-6060
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z1493
HEALTH NET
AZ
05
—
910118
—
AZ
01
—
AZ0209410
BCBSAZ
AZ
Enumeration date
03/21/2006
Last updated
03/29/2010
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