OrganizationGeriatric Specialties Of Arizona PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6838 N 23rd Ave, Phoenix, AZ 85015-1056(602) 864-8800PECOS EnrollmentBased on the most recent information from CMS, provider Geriatric Specialties Of Arizona Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1225023377Provider TypeOrganizationFull NameGeriatric Specialties Of Arizona PcSubpartNoEnumeration Date9/14/2005Last Updated12/3/2014Contact InformationPractice LocationPractice Address6838 N 23rd Ave, Phoenix, AZ 85015-1056Phone(602) 864-8800Fax(602) 864-1448Mailing LocationMailing Address6838 N 23rd Ave, Phoenix, AZ 85015-1056Phone(602) 864-8800Fax(602) 864-1448Authorized OfficialNameEdwards, Dianne (Office Manager)Phone(602) 864-8800Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense19651ArizonaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense16113ArizonaCode207RE0101XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense31629ArizonaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense30953Arizona