Organization
19TH AVENUE CLINIC LLC
Active
Other names
ADVANCED URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE L BISKUPSKI (VP OF OPERATIONS)
(602) 433-1822
Entity
Organization
Contact information
Practice address
2301 N 44TH ST, PHOENIX, AZ 85008-2420
(602) 808-8786
(602) 808-8704
Mailing address
PO BOX 32950, PHOENIX, AZ 85064-2950
(602) 275-6110
(602) 242-3519
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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