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Organization
UCXTRA UMBRELLA, LLC
Active
Organization
UCXTRA UMBRELLA, LLC
Active
Other names
Urgent Care Extra AZ
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY M. PANDURO (DIRECTOR OF OPERATIONS)
(480) 663-2432
Entity
Organization
Contact information
Practice address
6702 W BETHANY HOME RD, SUITE 13, 14 & 15, GLENDALE, AZ 85303-4402
(623) 435-7000
(623) 435-3947
Mailing address
1250 S CLEARVIEW AVE, SUITE 100, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
1518952365
AZ
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
04/03/2015
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