Arizona Sinus and ENT Associates PC
Organization Active NPI Otolaryngology Physician · Phoenix, AZ
NPI 1790971307 · NPPES record last updated May 29, 2013
Key facts
- NPI
- 1790971307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- Legal business name
- ARIZONA SINUS AND ENT ASSOCIATES PC
- Practice address
- 1515 N 9TH Street B
Phoenix, AZ 85006-2523 - Phone
- (602) 258-9859
- Fax
- (602) 256-0820
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Ryan M Rehl, MD
- Title
- President
- Phone
- (602) 258-9859
National Provider Directory
Locations
1515 N 9th St
Ste B
Phoenix, AZ 85006
Phone (602) 257-4228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | Yes |
Addresses
Primary practice location
1515 N 9TH Street B
Phoenix, AZ 85006-2523
Mailing address
PO Box 14687
Scottsdale, AZ 85267-4687
Phone (602) 258-9859
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG8404 | Other | AZ | RR MEDICARE |
| 302627 | Medicaid | AZ |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2013. 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.