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Organization
ARIZONA PROACTIVE HEALTH AND MEDICINE
Active
Organization
ARIZONA PROACTIVE HEALTH AND MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEVOY FILLERUP MD (CHEIF MEDICAL OFFICER)
(480) 366-4496
Entity
Organization
Contact information
Practice address
81 W GUADALUPE RD, GILBERT, AZ 85233-3321
(480) 366-4496
(800) 448-0729
Mailing address
81 W GUADALUPE RD, GILBERT, AZ 85233-3321
(480) 366-4496
(800) 448-0729
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
P18967986
AZ
261QU0200X
Urgent Care Clinic/Center
Primary
36126
AZ
Other
Enumeration date
01/22/2014
Last updated
02/21/2014
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