Providence General Medicine - Phoenix, AZ

Providence General Medicine

Medical Specialty Clinic/Center in Phoenix, Arizona

NPI 1508180043

Providence General Medicine is a Medical Specialty Clinic/Center based in Phoenix, AZ and is specialized in Medical Specialty. Providence General Medicine practices in Phoenix, AZ. The NPI Number for Providence General Medicine is 1508180043 and holds a License No. AP3603 (Arizona).

The current practice location address for Providence General Medicine is 1701 W Glendale Ave, Phoenix, AZ and can be reached out via phone at 602-246-9090 and via fax at 602-246-9867.

Location: 1701 W Glendale Ave, Phoenix, AZ, 85021-9701

NPI Number

1508180043

Provider Name

Providence General Medicine

Credential

Provider Entity Type

Organization

Address

1701 W Glendale Ave, Phoenix, AZ, 85021-9701

Phone Number

602-246-9090

Fax Number

602-246-9867

Provider Enumeration Date

03/25/2010

Last Update Date

03/09/2024

Address

1701 W Glendale Ave

City

Phoenix

State

Arizona

Zip

85021-9701

Phone Number

602-246-9090

Fax Number

602-246-9867

Address

1701 W Glendale Ave

City

Phoenix

State

Arizona

Zip

85021-9701

Phone Number

602-246-9090

Fax Number

602-246-9867

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Medical Specialty

Taxonomy

261QM2500X

License No.

AP3603 (Arizona)

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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