Organization · Type 2 NPI
Cleanslate Medical Group of Arizona PLLC
Multi-Specialty Clinic/Center · Phoenix, AZ
NPI number
1245865096
Active
Practice location
8410 W Thomas Rd Ste 124
Phoenix, AZ 85037-3373
Fax (833) 279-7074
Mailing address
155 Franklin Rd Ste 430
Brentwood, TN 37027-1602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1245865096
Cleanslate Medical Group of Arizona PLLC's National Provider Identifier is 1245865096, issued on Mar 11, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 26, 2026.