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Organization
ADULT GERIATRIC CARE GROUP
Active
Organization
ADULT GERIATRIC CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMORY GODWIN CARINGAL GRIJALDO AGACNP-BC (NURSE PRACTITIONER/OWNER)
(602) 687-3273
Entity
Organization
Contact information
Practice address
12451 W GENTLE RAIN RD, PEORIA, AZ 85383-7198
(857) 400-7436
(888) 425-0427
Mailing address
20403 N LAKE PLEASANT RD STE 117-488, PEORIA, AZ 85382-9702
(857) 400-7436
(888) 425-0427
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
01/20/2022
Last updated
05/30/2023
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