OrganizationActive
Agave Physician Services LLC
NPI 1053082263 · Hospice and Palliative Medicine (Internal Medicine) Physician · Phoenix, AZ
Provider details
- NPI number
- 1053082263
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rhett Andersen, Member(801) 420-0077
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3240 E Union Hills Dr Ste 145
Phoenix, AZ 85050-2652
Phone: (602) 855-3500
Fax: (855) 930-3500
Approximate (ZIP-level) locationGet directions
Mailing address
1008 N 1100 E
Pleasant Grove, UT 84062-2066
Registry dates
- Enumerated
- 2021-09-27
- Last updated
- 2021-09-27
- Certified
- 2021-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.