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Organization
MIDWESTERN UNIVERSITY
Active
Organization
MIDWESTERN UNIVERSITY
Active
Parent organization
MIDWESTERN UNIVERSITY
Other names
Midwestern University Comprehensive Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWESTERN UNIVERSITY
Authorized official
MATTHEW J SWEENEY CPA (SR VP & CFO)
(630) 515-6440
Entity
Organization
Contact information
Practice address
2000 W BETHANY HOME RD STE 200, PHOENIX, AZ 85015-2443
(623) 537-6000
Mailing address
19555 N 59TH AVE, GLENDALE, AZ 85308
(623) 572-3493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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