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

Az Fidelis PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1558507657

Az Fidelis PLLC is a Physical Medicine & Rehabilitation Physician in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
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

7702 E Doubletree Ranch Rd Ste 300
Scottsdale, AZ 85258-2129
Phone: (877) 408-2488
Fax: (866) 776-6641
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 13423 (AZ)

Record details

NPI number1558507657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Halvorson — Ceo · (877) 408-2488
NPI enumeratedDecember 20, 2008
Last updated in NPPESMarch 27, 2012
Mailing address7702 E Doubletree Ranch Rd, Ste 300, Scottsdale, AZ 85258-2129

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