Integra Home Doctors, Inc.

NPI #1295131712 in Peoria, Arizona

Provider Information

NPI Number
1295131712
Entity Type
Organization
Organization Name
Integra Home Doctors, Inc.
Primary Specialty
General Practice
Enumeration Date
Nov 11, 2014
Last Updated
May 23, 2016

Practice Location

Address
16165 N 83RD AVE
Address 2
SUITE 200
City
Peoria
State
Arizona
ZIP Code
85382-5816
Phone
(623) 888-3014

Authorized Official

Name
MR. GLENN LEONG MANGUERRA
Title
PRESIDENT
Phone
(773) 791-9340

Specialties & Taxonomy Codes

Specialty
General Practice

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