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Organization
PREMISE HEALTH OF ARIZONA MEDICAL, P.C.
Active
Organization
PREMISE HEALTH OF ARIZONA MEDICAL, P.C.
Active
Other names
Maricopa Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
301 W JEFFERSON ST STE 201, PHOENIX, AZ 85003-2195
(480) 347-4791
(480) 347-4792
Mailing address
16906 COLLECTION CENTER DR, CHICAGO, IL 60693-0169
(877) 865-9013
(480) 347-4792
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
05/10/2012
Last updated
08/23/2022
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