| B--umcp Physician Specialists LLC | |
|
1300 N 12th St Ste 500 Phoenix AZ 85006-2849 | |
| (602) 839-4915 | |
| Not Available |
| Full Name | B--umcp Physician Specialists LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1300 N 12th St Ste 500, Phoenix, Arizona |
| Authorized Official Name and Position | Dennis Dahlen (SR VP FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| B--umcp Physician Specialists LLC 2901 N Central Ave Phoenix AZ 85012-2700 | B--umcp Physician Specialists LLC 1300 N 12th St Ste 500 Phoenix AZ 85006-2849 Ph: (602) 839-4915 |
| NPI Number | 1275987349 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275987349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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