S H I E L D Foundation
Specialty details in registry · Phoenix, AZ
At a glance
11225 N 28Th Dr Ste D220F, Phoenix, AZ 85029-5697
NPPES record updated Jul 8, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
11225 N 28Th Dr Ste D220FPhoenix, AZ 85029-5697
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251V00000X
- Enumeration date
- Aug 5, 2022
- Record updated
- Jul 8, 2024
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
146D00000X
171400000X
171M00000X
171R00000X
172V00000X
251V00000X · Primary
252Y00000X
372500000X
372600000X
3747A0650X
3747P1801X
376J00000X
385H00000X
385HR2060X
405300000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
11225 N 28Th Dr Ste D220FPhoenix, AZ 85029-5697
- Phone
- (602) 432-6268
Mailing address
24 W CAMELBACK RD # 517PHOENIX, AZ 850132529
Information may be outdated or incomplete.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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