Arizona Institute of Geriatric Medicine
Organization Active NPI Medical Specialty Clinic/Center · Sun City, AZ
NPI 1467633784 · NPPES record last updated Nov 15, 2007
Key facts
- NPI
- 1467633784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- License
- 29375 (AZ)
- Legal business name
- ARIZONA INSTITUTE OF GERIATRIC MEDICINE
- Practice address
- 10503 W Thunderbird Blvd
#366
Sun City, AZ 85351-3022 - Phone
- (623) 815-8887
- Fax
- (623) 815-5374
- NPI assigned
- Nov 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Diana B Koss, MD
- Title
- Owner/Physician
- Phone
- (602) 815-8887
Practitioners 5
-
Diana Beth Koss, MD
-
Michael V Koss, MD
-
Melanie Ann Lane, MD
-
Lesa Marie Reda, FNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 29375 | AZ | Yes |
Addresses
Primary practice location
10503 W Thunderbird Blvd
#366
Sun City, AZ 85351-3022
Mailing address
PO Box 26048
Scottsdale, AZ 85255-0117
Phone (623) 815-8887
Other providers in Sun City, AZ
- Arizona Cardiac Specialists PLLC
- Arizona Chest and Vascular Surgeons PLLC
- Arizona CVS Stores LLC
- Arizona Hearing Aid & Audiology Associates LLC
- Arizona Heart Specialists PLLC
- Arizona Interventional Associates LLC
- Arizona Medical Sleep Institute, LLC
- Arizona Neurological Institute
- Arizona Neurological Institute, PC
- Arizona Neurological Institute, PC
All providers in Sun City, AZ · Medical Specialty Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.