| Careatc-phoenix | |
|
3201 W Peoria Ave D707 Phoenix AZ 85029-4608 | |
| (602) 354-8311 | |
| Not Available |
| Full Name | Careatc-phoenix |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3201 W Peoria Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Keith Gucwa (DIR OF PURCHASING AND FACILITIES) |
| Authorized Official Contact | 9187797416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Careatc-phoenix 3201 W Peoria Ave D707 Phoenix AZ 85029-4608 Ph: (602) 354-8311 | Careatc-phoenix 3201 W Peoria Ave D707 Phoenix AZ 85029-4608 Ph: (602) 354-8311 |
| NPI Number | 1659823235 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659823235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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