Organization · Type 2 NPI

Cleanslate Medical Group of Arizona PLLC

Multi-Specialty Clinic/Center · Gilbert, AZ

NPI number 1376178129 Active

Practice location

2451 E Baseline Rd Ste 430
Gilbert, AZ 85234-2473

Fax (833) 279-7074

Mailing address

155 Franklin Rd Ste 430
Brentwood, TN 37027-1602

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

6 other providers at this address

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About NPI 1376178129

Cleanslate Medical Group of Arizona PLLC's National Provider Identifier is 1376178129, issued on Mar 11, 2020. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Gilbert, AZ. The record was last updated on Aug 26, 2026.