# 19TH AVENUE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED URGENT CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922354687
- **Authorized official:** MS. RENEE L BISKUPSKI (VP OF OPERATIONS)
- **Authorized official phone:** (602) 433-1822

## Contact information

- **Practice address:** 2423 W DUNLAP AVE STE 150, PHOENIX, AZ 85021-5818
- **Practice address phone:** (602) 216-6862
- **Practice address fax:** (602) 216-9745
- **Mailing address:** PO BOX 32950, PHOENIX, AZ 85064-2950
- **Mailing address phone:** (602) 275-6110
- **Mailing address fax:** (602) 242-3519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2012
- **Last updated:** 07/31/2012