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Organization
MED 97 LLC
Active
Organization
MED 97 LLC
Active
Other names
Advanced Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE L BISKUPSKI (VP OF OPERATIONS)
(602) 433-1822
Entity
Organization
Contact information
Practice address
8260 W INDIAN SCHOOL RD, STE 1 & 2, PHOENIX, AZ 85033
(623) 846-7122
(623) 846-7027
Mailing address
PO BOX 32950, PHOENIX, AZ 85064
(602) 433-1822
(602) 246-7060
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
OTC2677
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630667
—
AZ
Enumeration date
12/27/2005
Last updated
03/19/2008
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