State of Arizona Department of Corrections

NPI #1255566477 in Florence, Arizona

Provider Information

NPI Number: 1255566477
Entity Type: Organization
Organization Name: State of Arizona Department of Corrections
Primary Specialty: Clinic/Center - Prison Health
Enumeration Date: May 18, 2009
Last Updated: May 18, 2009

Practice Location

Address: 1305 E BUTTE AVE
City: Florence
State: Arizona
ZIP Code: 85232
Phone: (520) 868-4011

Authorized Official

Name: LINDSEY R CHITWOOD, MASTERS
Title: PHYSICIAN ASSISTANT
Phone: (520) 868-4011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Prison Health — Prison Health	261QP2400X	Primary

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