Organization Name: | URGENT CARE CENTERS OF ARIZONA, LLC |
NPI Number: | 1316248255 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEROD BOWEN (OWNER) |
Mailing Address: | 5045 W Baseline Rd Suite 110 Laveen |
State: | AZ US |
Postal Code: | 853397392 |
Phone Number: | 6022737373 |
Fax Number: | 6022737977 |
NPI Enumeration Date: | 11/09/2010 |
NPI Last Update Date: | 02/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |