NPI | 1073609848 |
---|---|
Doing Business As | PINNACLE ANTHEM |
Entity Type | Organization |
Authorized Contact | NATHAN ANSPACH Sr. VP 623-434-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ OTC 3490) |
Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: AZ OTC3148) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2017-07-24 |