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

Internal Medicine Primary Care Speciailists, PLLC

Organization Internal Medicine Physician · NPI 1881722957

Internal Medicine Primary Care Speciailists, PLLC is an Internal Medicine Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
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

12440 N 40th Dr
Phoenix, AZ 85029-2969
Phone: (602) 588-7007
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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 10754 (AZ)

Record details

NPI number1881722957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Gittman — Member · (602) 588-7007
NPI enumeratedMarch 1, 2007
Last updated in NPPESJanuary 26, 2010
Mailing address12440 N 40th Dr, Phoenix, AZ 85029-2969

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