Organization
AMERICAN CURRENT CARE OF ARIZONA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TOM FOGARTY MD (SENIOR VP / CHIEF MEDICAL OFFICER)
(800) 232-3550
Entity
Organization
Contact information
Practice address
7400 WEST OLIVE AVENUE, SUITE 1, PEORIA, AZ 85345
(623) 487-8598
(623) 487-8647
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST TOWER, ADDISON, TX 75001
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300205
—
AZ
Enumeration date
10/09/2007
Last updated
06/30/2010
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