Organization
MARICOPA INTEGRATED HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ZEHENTBAUER PMP (PROJECT MANAGER)
(602) 344-8435
Entity
Organization
Contact information
Practice address
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE, PHOENIX, AZ 85008-4973
(602) 344-5366
Mailing address
5110 N 32ND ST, 312, PHOENIX, AZ 85018-1451
(310) 801-8491
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN038285
AZ
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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