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Organization
DIOCESAN COUNCIL OF THE SOCIETY OF ST. VINCENT DE PAUL DIOCESE OF PHX
Active
Organization
DIOCESAN COUNCIL OF THE SOCIETY OF ST. VINCENT DE PAUL DIOCESE OF PHX
Active
Other names
St. Vincent de Paul Virginia G. Piper Medical & Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ERTL RN, MHSA (CLINIC DIRECTOR)
(602) 261-6880
Entity
Organization
Contact information
Practice address
420 W WATKINS RD, PHOENIX, AZ 85003-2830
(602) 261-6825
Mailing address
PO BOX 13600, PHOENIX, AZ 85002-3600
(602) 261-6825
(602) 261-6816
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
OTC 0669
AZ
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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