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Organization
PHOENICIAN MEDICAL CENTER, INC
Active
Organization
PHOENICIAN MEDICAL CENTER, INC
Active
Other names
Phoenician Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAM AHLAWAT (COO)
(480) 444-7447
Entity
Organization
Contact information
Practice address
13943 N 91ST AVE BLDG E, PEORIA, AZ 85381-3629
(480) 963-1953
(480) 963-1854
Mailing address
1343 N ALMA SCHOOL RD STE 160, CHANDLER, AZ 85224-5901
(480) 963-1853
(480) 963-1854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/29/2023
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