| Evernorth Care Group Paseo Multi-specialty Center | |
|
5891 W Eugie Ave Glendale AZ 85304-1252 | |
| (602) 588-6600 | |
| Not Available |
| Full Name | Evernorth Care Group Paseo Multi-specialty Center |
|---|---|
| Speciality | Clinic/center |
| Location | 5891 W Eugie Ave, Glendale, Arizona |
| Authorized Official Name and Position | Kevin Ellis (CHEIF MEDICAL DIRECTOR) |
| Authorized Official Contact | 6232772246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Care Group Paseo Multi-specialty Center 8888 E Raintree Dr Fl 3 Scottsdale AZ 85260-3951 Ph: (602) 328-8400 | Evernorth Care Group Paseo Multi-specialty Center 5891 W Eugie Ave Glendale AZ 85304-1252 Ph: (602) 588-6600 |
| NPI Number | 1689745333 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689745333 | NPI | - | NPPES |
| 061721 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OTC 0624 (Arizona) | Primary |
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