# ARIZONA OCCUPATIONAL MEDICAL CLINICS

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

## Provider details

- **NPI number:** 1497298178
- **Authorized official:** MS. SHANNON DEVANE (MANAGER)
- **Authorized official phone:** (562) 506-5215

## Contact information

- **Practice address:** 4540 E BASELINE RD STE 105, MESA, AZ 85206-4616
- **Practice address phone:** (562) 506-5215
- **Mailing address:** 3200 N CENTRAL AVE STE 2000, PHOENIX, AZ 85012-2440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 11/29/2016