Ice Health Service Corps

NPI #1841634201 in Florence, Arizona

Provider Information

NPI Number
1841634201
Entity Type
Organization
Organization Name
Ice Health Service Corps
Primary Specialty
Clinic/Center - Public Health, Federal
Enumeration Date
Apr 28, 2013
Last Updated
Apr 28, 2013

Practice Location

Address
3250 N PINAL PKWY
State
Arizona
ZIP Code
85132-9459
Phone
(520) 868-2049

Authorized Official

Name
BRENT STEPHEN
Title
HEALTH SERVICE ADMINISTRATOR
Phone
(520) 868-8439

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Public Health, FederalPublic Health, Federal

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