19th Avenue Clinic LLC

NPI #1033466651 in Phoenix, Arizona

Provider Information

NPI Number: 1033466651
Entity Type: Organization
Organization Name: 19th Avenue Clinic LLC
Primary Specialty: Clinic/Center - Urgent Care
Enumeration Date: Aug 14, 2012
Last Updated: Aug 14, 2012

Practice Location

Address: 2301 N 44TH ST
City: Phoenix
State: Arizona
ZIP Code: 85008-2420
Phone: (602) 808-8786

Authorized Official

Name: MS. RENEE L BISKUPSKI
Title: VP OF OPERATIONS
Phone: (602) 433-1822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X	Primary

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