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

Arizona State University

Organization Family Medicine Physician · NPI 1255511465

Arizona State University is a Family Medicine Physician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
4

Practice location Address checks out

4701 W Thunderbird Road University Ctr Bldg Rm 190
Glendale, AZ 85306
Phone: (602) 543-8019
Fax: (602) 543-8079
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X (AZ)
Family Medicine Physician Taxonomy 207Q00000X
Family Medicine Physician Taxonomy 207Q00000X (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1255511465
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationArizona State University
Authorized official Allan Markus — Physician/Director · (480) 965-1145
Other names Arizona State University Health Services
NPI enumeratedNovember 6, 2007
Last updated in NPPESNovember 3, 2014
Mailing addressPo Box 872104, Tempe, AZ 85287-2104

Other providers in Glendale