Provider Demographics
NPI:1538750450
Name:ARIZONA INJURY SPECIALISTS, LLC
Entity type:Organization
Organization Name:ARIZONA INJURY SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-608-1331
Mailing Address - Street 1:1107 S GILBERT RD STE 111
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-5233
Mailing Address - Country:US
Mailing Address - Phone:480-608-1331
Mailing Address - Fax:480-596-1731
Practice Address - Street 1:1107 S GILBERT RD STE 111
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-5233
Practice Address - Country:US
Practice Address - Phone:480-608-1331
Practice Address - Fax:480-596-1731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty