NPI 1164887972
Primebody
Practice location
- Address
- 11611 E Sahuaro Dr Suite 100, Scottsdale, AZ 85259-3163
- Phone
- (602) 732-4418
- Fax
- (602) 569-9027
- Mailing address
- 14500 N Northsight Blvd Suite 200, Scottsdale, AZ 85260-3658
Authorised official
- Name
- Nick Glimcher
- Title
- Owner
- Phone
- (602) 732-4412
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1164887972
- Entity type
- Organization
- NPI issued
- 21 Dec 2015
- Record last updated
- 21 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.