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

Arizona State Internal Medicine Associates PLLC

Organization Internal Medicine Physician · NPI 1255684437

Arizona State Internal Medicine Associates PLLC is an Internal Medicine Physician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
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

17100 N 67th Ave Ste 401
Glendale, AZ 85308-3605
Phone: (602) 795-8698
Fax: (602) 795-8699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 29006 (AZ)

Record details

NPI number1255684437
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leticia Jacinto — President · (602) 361-8099
NPI enumeratedOctober 25, 2012
Last updated in NPPESOctober 25, 2012
Mailing address17100 N 67th Ave, Suite 401, Glendale, AZ 85308-3605

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