| Ent | |
|
6320 W Union Hills Dr Suite B2500 Glendale AZ 85308-1096 | |
| (602) 906-3500 | |
| (602) 906-3519 |
| Full Name | Ent |
|---|---|
| Speciality | General Practice |
| Location | 6320 W Union Hills Dr, Glendale, Arizona |
| Authorized Official Name and Position | Savas Petrides (SVP/CEO) |
| Authorized Official Contact | 4806964020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ent 2500 W Utopia Rd Suite 100 Phoenix AZ 85027-4171 Ph: (623) 434-6200 | Ent 6320 W Union Hills Dr Suite B2500 Glendale AZ 85308-1096 Ph: (602) 906-3500 |
| NPI Number | 1972056984 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 11/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972056984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (Arizona) | Primary |
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