Organization
GLENDALE URGENT CARE LLC
Active
Other names
NextCare
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SHUFELDT M.D. (CEO)
(480) 924-8382
Entity
Organization
Contact information
Practice address
18589 N 59TH AVE, STE. 101, GLENDALE, AZ 85308-1258
(480) 776-1588
(602) 547-8700
Mailing address
1710 THISTLE RD, FLAGSTAFF, AZ 86004-7739
(928) 522-8006
(928) 522-8556
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
OTC3473
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817033
—
AZ
01
—
DB3854
RAILROAD MEDICARE
AZ
Enumeration date
04/25/2006
Last updated
01/28/2008
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