Centerwell Senior Primary Care Az PC

NPI #1063169316 in Phoenix, Arizona

Provider Information

NPI Number: 1063169316
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care Az PC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTERWELL SENIOR PRIMARY CARE AZ PC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 7, 2022
Last Updated: Aug 11, 2023

Practice Location

Address: 702 W CAMELBACK RD
City: Phoenix
State: Arizona
ZIP Code: 85013-2291
Phone: (480) 808-9215

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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