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Organization
VINEYARD COMMUNITY CHARITIES
Active
Organization
VINEYARD COMMUNITY CHARITIES
Active
Other names
Vineyard Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINY BRUMMETT (CLINIC ADMINISTRATIVE ASSISTANT)
(623) 234-2999
Entity
Organization
Contact information
Practice address
6250 W PEORIA AVE, GLENDALE, AZ 85302-1000
(623) 234-2999
Mailing address
6250 W PEORIA AVE, GLENDALE, AZ 85302-1000
(623) 234-2999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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