# GLENDALE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346374543
- **Authorized official:** NASSER BAGHERI (PRESIDENT)
- **Authorized official phone:** (602) 995-9144

## Contact information

- **Practice address:** 1917 W GLENDALE AVE, SUITE 11, PHOENIX, AZ 85021-7861
- **Practice address phone:** (602) 995-9144
- **Practice address fax:** (602) 995-9563
- **Mailing address:** 1917 W GLENDALE AVE, SUITE 11, PHOENIX, AZ 85021-7861
- **Mailing address phone:** (602) 995-9144
- **Mailing address fax:** (602) 995-9563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2809 | AZ | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020