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

Cleanslate Medical Group of Arizona PLLC

Organization Internal Medicine Physician · NPI 1598390353

Cleanslate Medical Group of Arizona PLLC is an Internal Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
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

7725 N 43rd Ave Ste 522
Phoenix, AZ 85051-5771
Phone: (480) 729-8341
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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

Record details

NPI number1598390353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Amick — Ao · (727) 798-8160
NPI enumeratedMarch 11, 2020
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020
Mailing address15 Century Blvd Ste 307, Nashville, TN 37214-3692

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