Concentra Primary Care of Arizona PA

NPI #1538429576 in Chandler, Arizona

Provider Information

NPI Number
1538429576
Entity Type
Organization
Organization Name
Concentra Primary Care of Arizona PA
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
May 24, 2012
Last Updated
May 24, 2012

Practice Location

Address
595 N DOBSON RD
Address 2
SUITE D-65
State
Arizona
ZIP Code
85224-4226
Phone
(480) 545-1100

Authorized Official

Name
WILLIAM TOM FOGARTY, MD
Title
VP, TREASURER
Phone
(972) 364-8000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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