| Organization Name: | ARIZONA GENERAL ER LLC |
| NPI Number: | 1164822904 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIM FIELDING (CFO) |
| Mailing Address: | 7171 S. 51st Ave Laveen |
| State: | AZ US |
| Postal Code: | 85339 |
| Phone Number: | 9728996650 |
| Fax Number: | 9728995954 |
| NPI Enumeration Date: | 08/29/2014 |
| NPI Last Update Date: | 08/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |