Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

NPI #1003083551 in Phoenix, Arizona

Provider Information

NPI Number
1003083551
Entity Type
Organization
Organization Name
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Subpart
Yes (part of a larger organization)
Parent Organization
PHOENIX INDIAN MEDICAL CENTER
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 14, 2008
Last Updated
May 26, 2021

Practice Location

Address
4212 NORTH 16TH STREET
Address 2
PHOENIX INDIAN MEDICAL CENTER AMBULATORY SURGICAL CENT
State
Arizona
ZIP Code
85016-5319
Phone
(602) 263-1200

Authorized Official

Name
MISS LAURA A TILLMAN, MD
Title
CMO
Phone
(602) 263-1674

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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