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

PROVIDENCE GENERAL MEDICINE

Active Organization

PROVIDENCE GENERAL MEDICINE is a Medical Specialty Clinic organization located in PHOENIX, Arizona. NPI 1508180043 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · PHOENIX, AZ

Registration Details

NPI Number
1508180043
Provider Type
Organization
NPI Issued
Mar 25, 2010 (16.434252528046 yrs)
Last Updated
Mar 25, 2010
License
AP3603 (AZ)

Practice Information

Address
1701 W GLENDALE AVE
PHOENIX, AZ, 850219701
Browse AZ providers · Browse ZIP 85021
Phone
6022469090
Fax
6022469867
Primary Specialty
Medical Specialty Clinic
261QM2500X
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.