Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arizona Clinic PLLC

Organization Family Medicine Physician · NPI 1053188771

Arizona Clinic PLLC is a Family Medicine Physician in Tucson, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4834 E Broadway Blvd
Tucson, AZ 85711-3610
Phone: (206) 551-0154
Fax: (702) 441-1961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1053188771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Minckler — Ceo · (206) 551-0154
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address4834 E Broadway Blvd, Tucson, AZ 85711-3610

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