Provider Demographics
NPI:1396111936
Name:MEDPOINT LLC
Entity type:Organization
Organization Name:MEDPOINT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:POSSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:480-595-9527
Mailing Address - Street 1:8300 E LONE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-1918
Mailing Address - Country:US
Mailing Address - Phone:480-595-9527
Mailing Address - Fax:480-452-1706
Practice Address - Street 1:8300 E LONE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-1918
Practice Address - Country:US
Practice Address - Phone:480-595-9527
Practice Address - Fax:480-452-1706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ005348207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty