Organization
PB MEDICAL GROUP OF ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA FREEMAN (EDI/CREDENTIALING SPECIALIST)
(615) 567-7256
Entity
Organization
Contact information
Practice address
12816 E TURQUOISE AVE, SCOTTSDALE, AZ 85259-5300
(480) 840-2588
(480) 773-7340
Mailing address
PO BOX 207801, DALLAS, TX 75320-7801
(847) 329-4100
(847) 329-4900
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
08/20/2019
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