# SPIRIT HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780382119
- **Authorized official:** LAUREL SOCKRIDER NP (OWNER)
- **Authorized official phone:** (602) 663-0945

## Contact information

- **Practice address:** 12333 W DESERT MIRAGE DR, PEORIA, AZ 85383-3449
- **Practice address phone:** (602) 663-0945
- **Mailing address:** 12333 W DESERT MIRAGE DR, PEORIA, AZ 85383-3449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2023
- **Last updated:** 10/20/2023