Phoenix Center, LLC
NPI #1073737813 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1073737813
- Entity Type
- Organization
- Organization Name
- Phoenix Center, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3915 GOLDEN VALLEY RD
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55422-4249
- Phone
- (651) 287-8781
Authorized Official
- Name
- MRS. AJ BURTON
- Title
- BUSINESS MANAGER
- Phone
- (651) 287-8781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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