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Organization
PRO-HEALTHCARE LLC
Active
Organization
PRO-HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIUS KING CBCS (DIRECTOR)
(602) 579-2227
Entity
Organization
Contact information
Practice address
4121 E VALLEY AUTO DR STE 110, MESA, AZ 85206-4632
(602) 675-4692
(602) 207-8898
Mailing address
4921 E BELL RD STE 202, SCOTTSDALE, AZ 85254-6002
(480) 571-1594
(480) 571-0747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
03/20/2024
Last updated
03/06/2025
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