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

Triad Clinic PLLC

Organization General Practice Physician · NPI 1174857791

Triad Clinic PLLC is a General Practice Physician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
Specialties on file
2
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

4902 W Ironwood Dr
Glendale, AZ 85302-2402
Phone: (602) 667-4636
Fax: (480) 247-5551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP2115 (AZ)
General Practice Physician Taxonomy 208D00000X · Licence 3175 (AZ)

Record details

NPI number1174857791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Knight — President · (602) 667-4636
NPI enumeratedSeptember 29, 2009
Last updated in NPPESNovember 4, 2010
Mailing address5350 W Bell Rd, Suite C-122-417, Glendale, AZ 85308-3906

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