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

Organization Public Health or Welfare Agency · NPI 1548462716

Arizona Medical Boutique, LLC is a Public Health or Welfare Agency in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

35017 N 30th Dr
Phoenix, AZ 85086-3224
Phone: (480) 766-0550
Fax: (623) 581-7499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health or Welfare Agency (primary) Taxonomy 251K00000X · Licence 3164 (AZ)

Record details

NPI number1548462716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shuree Oldehoeft — Physician Assistant · (480) 766-0550
NPI enumeratedJune 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address35017 N 30th Dr, Phoenix, AZ 85086-3224

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