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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHOENIX VAMC

Deactivated Organization

VA Clinic · GLOBE, AZ

This NPI has been deactivated. The record was deactivated on June 3, 2008. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1053586545
Provider Type
Organization
NPI Issued
Apr 25, 2008 (0.10684931506849 yrs)
Last Updated
Nov 1, 2017
Deactivated
Jun 3, 2008

Practice Information

Address
5860 S HOSPITAL DR
SUITE 111
GLOBE, AZ, 855019449
Browse AZ providers · Browse ZIP 85501
Phone
7023413152
Primary Specialty
VA Clinic
261QV0200X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.