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

Geriatric Specialties of Arizona PC

Organization Non-Pharmacy Dispensing Site · NPI 1649690603

Geriatric Specialties of Arizona PC is a Non-Pharmacy Dispensing Site in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6838 N 23rd Ave
Phoenix, AZ 85015-1056
Phone: (602) 864-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 19651 (AZ)

Record details

NPI number1649690603
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Geriatric Specialties Of Arizona
NPI enumeratedApril 17, 2014
Last updated in NPPESNovember 10, 2014
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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