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Organization

CLOVE LLC

Active
Other names
Grayhawk Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
ARNETTA BLACKWELL (CEO)
(480) 473-7003
Entity
Organization

Contact information

Practice address
10051 E DYNAMITE BLVD STE 110, SCOTTSDALE, AZ 85262-5239
(480) 473-7003
(480) 473-4499
Mailing address
10051 E DYNAMITE BLVD STE 110, SCOTTSDALE, AZ 85262-5239
(480) 473-7003
(480) 473-4499

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/24/2018
Last updated
05/22/2023
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