Provider Demographics
NPI:1942721436
Name:INFUSION SPECIALISTS OF ARIZONA, LLC
Entity type:Organization
Organization Name:INFUSION SPECIALISTS OF ARIZONA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:SOLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-445-9840
Mailing Address - Street 1:PO BOX 1731
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85299-1731
Mailing Address - Country:US
Mailing Address - Phone:480-445-9840
Mailing Address - Fax:480-275-3538
Practice Address - Street 1:7898 E ACOMA DR STE 104
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3480
Practice Address - Country:US
Practice Address - Phone:480-445-9840
Practice Address - Fax:480-275-3538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-05
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24757207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty