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Organization
PHOENIX HEALTH PRACTITIONERS LLC
Active
Organization
PHOENIX HEALTH PRACTITIONERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEHEMIAH ABUGA (OWNER)
(480) 450-5020
Entity
Organization
Contact information
Practice address
4222 N 12TH ST STE 200, PHOENIX, AZ 85014-6024
(602) 795-9223
(602) 795-9728
Mailing address
12474 W FOREST PLEASANT PL, PEORIA, AZ 85383-5666
(602) 795-9223
(602) 795-9728
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
05/01/2023
Last updated
05/03/2024
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