Organization
DEVEREUX FOUNDATION
Active
Other names
Devereux Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LANE BARKER (EXECUTIVE DIRECTOR)
(480) 998-2920
Entity
Organization
Contact information
Practice address
1837 S MESA DR STE A200, MESA, AZ 85210-6219
(602) 283-1547
Mailing address
2025 N 3RD ST STE 250, PHOENIX, AZ 85004-1472
(602) 283-1573
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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