AZ MEDICAL SERVICES MANAGEMENT LLC


Address: 7405 Puritan St, Detroit, MI 48238-1207
Phone: 3138628050

AZ MEDICAL SERVICES MANAGEMENT LLC (NPI# 1669788121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669788121
Entity Type Organization
Organization Name AZ MEDICAL SERVICES MANAGEMENT LLC
Practice Address 7405 Puritan St
Detroit
MI 48238-1207
Mailing Address Po Box 40420
Redford
MI 48240-0420
Practice Telephone 3138628050
Enumeration Date 2010-08-23
Last Update Date 2010-08-23
Authorized Official Name MR. JERRY OMAR (VICE PRESIDENT)
Authorized Official Telephone 3138628050
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 7405 PURITAN ST
City DETROIT
State MI
Zip Code 48238-1207

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1871720342 Vernor Mc Inc General Practice 7649 W Vernor Hwy, Detroit, MI 48209-1513 2009-06-11
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Competitor

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City DETROIT
Zip Code 48238

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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