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Organization
AMERICAN CURRENT CARE OF ARIZONA PA
Active
Organization
AMERICAN CURRENT CARE OF ARIZONA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM TOM FOGARTY MD (PRESIDENT)
(800) 232-8550
Entity
Organization
Contact information
Practice address
120 WEST FINE AVE, FLAGSTAFF, AZ 86001
(928) 773-9695
(928) 773-0208
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST, ADDISON, TX 75001-4625
(800) 232-3550
(972) 387-8058
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300205
—
AZ
Enumeration date
08/15/2007
Last updated
06/30/2010
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