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Az Fidelis Pllc

Physical Medicine & Rehabilitation Physician in Scottsdale, AZ · enumerated 2008 · authorized official Glen Halvorson, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558507657

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Registry record

Entity type Organization (Type 2)
Legal business name Az Fidelis Pllc
Practice address 7702 E Doubletree Ranch Rd, Ste 300, Scottsdale, AZ, 85258
Phone (877) 408-2488
Fax (866) 776-6641
Enumeration date Dec 20, 2008
Last updated in NPPES Mar 27, 2012

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 13423 (AZ) Primary

Authorized official

Name Glen Halvorson
Title Ceo
Phone (877) 408-2488

Other identifiers

Identifier Type State Issuer
13423 Other AZ STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Az Fidelis Pllc?
NPPES lists Glen Halvorson (Ceo) as the authorized official for this organization.
What is the NPI number for Az Fidelis Pllc?
The NPI for Az Fidelis Pllc is 1558507657, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-27.