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Specialty details in registry · Phoenix, AZ

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At a glance

911 E Taylor St, Phoenix, AZ 85006-3359

NPPES record updated Jan 21, 2026. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

911 E Taylor St
Phoenix, AZ 85006-3359
Professional details: NPI, taxonomy & registry record
NPI1194684597
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
101YA0400X
Enumeration date
Jan 20, 2026
Record updated
Jan 21, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YA0400X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

911 E Taylor St
Phoenix, AZ 85006-3359
Phone
(623) 456-2793
Mailing address
911 E TAYLOR ST

PHOENIX, AZ 850063359
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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