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ARIZONA CLINIC PLLC
NPI 1053188771
Family Medicine in Tucson, AZ

Active since December 04, 2023
4834 E BROADWAY BLVD, TUCSON, AZ 85711(206) 551-0154(702) 441-1961 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arizona Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARIZONA CLINIC PLLC (NPI 1053188771) is a healthcare organization registered as a family medicine in Tucson, Arizona and active in the NPI registry since December 2023. The organization lists Michael Minckler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053188771
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARIZONA CLINIC PLLC
Location Address4834 E BROADWAY BLVDTucson, AZ 85711-3610
Mailing Address4834 E Broadway BlvdTucson, AZ 85711-3610 · (206) 551-0154 · Fax (702) 441-1961
Phone(206) 551-0154
Fax(702) 441-1961
Organization SubpartNo
Authorized OfficialMichael MincklerCeo · (206) 551-0154
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1053188771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4834 E BROADWAY BLVD, Tucson, AZ 85711
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAIG ALAN KASPER SR. FNP-C
Nurse Practitioner (Family)
4834 E BROADWAY BLVD
TUCSON, AZ 85711
Pima County (602) 804-9007
BROADWAY PROCEDURE CENTER
Pain Medicine (Interventional Pain Medicine)
4834 E BROADWAY BLVD
TUCSON, AZ 85711
Pima County (520) 800-6330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arizona Clinic PLLC's NPI number?

The NPI number for Arizona Clinic PLLC is 1053188771. It was assigned to this organization in the NPPES registry on December 4, 2023.

Where is Arizona Clinic PLLC located?

Arizona Clinic PLLC is located at 4834 E Broadway Blvd, Tucson, AZ 85711. The listed phone number is (206) 551-0154.

What is Arizona Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Arizona Clinic PLLC was last updated on December 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.