Organization · Type 2 NPI

Premise Health of Arizona Medical PC

Multi-Specialty Clinic/Center · Phoenix, AZ

NPI number 1710378682 Active

Practice location

301 W Jefferson St Ste B70
Phoenix, AZ 85003-2143

Call (480) 347-4791 Map

Fax (480) 347-4792

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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

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About NPI 1710378682

Premise Health of Arizona Medical PC's National Provider Identifier is 1710378682, issued on Feb 12, 2015. 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 Mar 12, 2026.