Arizona Digestive & Liver Disease Consultants

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ARIZONA DIGESTIVE & LIVER DISEASE CONSULTANTS

Practice address

5823 W Eugie Ave
Ste a
Glendale, AZ 85304-1276

Phone

(602) 843-1265

Fax

(602) 843-1297

NPI assigned

Apr 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Kanner, MD

Title

Partner

Phone

(602) 843-1265

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467414219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 W EUGIE AVE",
            "address_2": "STE A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041276",
            "telephone_number": "602-843-1265",
            "fax_number": "602-843-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 W EUGIE AVE",
            "address_2": "STE A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041276",
            "telephone_number": "602-843-1265",
            "fax_number": "602-843-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA DIGESTIVE & LIVER DISEASE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANNER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "602-843-1265",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.