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

Arizona Interventional Medical Group PC

Organization Vascular & Interventional Radiology Physician · NPI 1053615021

Arizona Interventional Medical Group PC is a Vascular & Interventional Radiology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2338 W Royal Palm Rd Ste J
Phoenix, AZ 85021-9339
Phone: (630) 725-2768
Fax: (877) 219-4810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 42646 (AZ)

Record details

NPI number1053615021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J King — Owner · (630) 725-2768
NPI enumeratedJanuary 5, 2011
Last updated in NPPESJanuary 5, 2011
Mailing address1901 Butterfield Rd, 220, Downers Grove, IL 60515-7915

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