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Organization

ARIZONA EMERGENCY SPECIALIST, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER A WILLCOX MD (PRESIDENT)
(602) 923-5000
Entity
Organization

Contact information

Practice address
3929 E BELL RD, PHOENIX, AZ 85032-2112
(602) 923-5000
(818) 587-2493
Mailing address
PO BOX 80072, CITY OF INDUSTRY, CA 91716-8072
(818) 340-9988
(818) 587-2493

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
973596
AZ
01
AZ0306240
BLUE SHIELD
AZ
Enumeration date
07/11/2006
Last updated
08/22/2020
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