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Organization
FIRST CLASS MEDICAL CENTERS, PC
Active
Organization
FIRST CLASS MEDICAL CENTERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA S SULLIVAN M.D (PROVIDER)
(480) 577-9340
Entity
Organization
Contact information
Practice address
2040 W BETHANY HOME RD, PHOENIX, AZ 85015-2473
(480) 577-9340
Mailing address
2040 W BETHANY HOME RD, PHOENIX, AZ 85015-2473
(480) 577-9340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40062
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159875
—
SC
01
—
2015987
CDS
SC
05
—
358212
—
AZ
01
—
F427208066
MEDICARE ID
—
Enumeration date
06/04/2015
Last updated
03/07/2023
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