NPI 1427105311

Bethany Medical

Organisation General Practice Physician Glendale, AZ

Practice location

Address: 5270 N 59th Ave Suite 11, Glendale, AZ 85301-6762
Phone: (623) 847-9800
Fax: (623) 847-9898
Mailing address: 5270 North 59th Avenue Site 11, Glendale, AZ 85301-6764

Authorised official

Name: Richard a Ayiyi
Title: Ceo
Phone: (602) 301-0214

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Arizona →

Registry record

NPI: 1427105311
Entity type: Organization
NPI issued: 4 Jan 2007
Record last updated: 22 Aug 2020

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.