Community Care Management LLC

NPI #1063737187 in Scottsdale, Arizona

Provider Information

NPI Number
1063737187
Entity Type
Organization
Organization Name
Community Care Management LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Mar 31, 2010
Last Updated
Mar 31, 2010

Practice Location

Address
7701 E GRAY RD # 107
State
Arizona
ZIP Code
85260-6958
Phone
(602) 468-6337

Authorized Official

Name
LISA SPARKS, MD
Title
MEDICAL DIRECTOR
Phone
(602) 468-6337

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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