| Agave Medical Center, LLC | |
|
703 E Ash St Suite 1b Globe AZ 85501-1865 | |
| (928) 425-3557 | |
| Not Available |
| Full Name | Agave Medical Center, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 703 E Ash St, Globe, Arizona |
| Authorized Official Name and Position | Holly Elizabeth Rooney (DIRECTOR) |
| Authorized Official Contact | 9284253557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agave Medical Center, LLC 703 E Ash St Suite 1b Globe AZ 85501-1865 Ph: (928) 425-3557 | Agave Medical Center, LLC 703 E Ash St Suite 1b Globe AZ 85501-1865 Ph: (928) 425-3557 |
| NPI Number | 1992980239 |
|---|---|
| Provider Enumeration Date | 01/06/2008 |
| Last Update Date | 02/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992980239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AZ28273 (Arizona) | Primary |
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