NPI 1326145608

Versatile Medicine PLLC

Organisation Internal Medicine Physician Avondale, AZ

Practice location

Address: 13055 W McDowell Rd Suite E-106, Avondale, AZ 85392-6449
Phone: (623) 975-8400
Fax: (623) 935-2975

Authorised official

Name: Kathleen a Nichols
Title: Physician/General Manager
Phone: (623) 975-8400

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence AZ26993 (AZ)

Other Internal Medicine providers in Arizona →

Registry record

NPI: 1326145608
Entity type: Organization
NPI issued: 20 Sep 2006
Record last updated: 8 Jun 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.