Centerwell Senior Primary Care Az PC

NPI #1205583549 in Glendale, Arizona

Provider Information

NPI Number: 1205583549
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 19, 2024

Practice Location

Address: 5016 W CACTUS RD
City: Glendale
State: Arizona
ZIP Code: 85304-2245
Phone: (602) 842-4983

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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