Provider Demographics
NPI:1083669949
Name:NORTHWEST RHEUMATOLOGY PLLC
Entity type:Organization
Organization Name:NORTHWEST RHEUMATOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ULKER
Authorized Official - Middle Name:
Authorized Official - Last Name:TOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-792-2199
Mailing Address - Street 1:1521 E TANGERINE RD
Mailing Address - Street 2:STE 331
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-6225
Mailing Address - Country:US
Mailing Address - Phone:520-792-2199
Mailing Address - Fax:
Practice Address - Street 1:1521 E TANGERINE RD
Practice Address - Street 2:STE 331
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-6225
Practice Address - Country:US
Practice Address - Phone:520-792-2199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30725207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty