Organization
PHOENIX CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AJ BURTON (BUSINESS MANAGER)
(651) 287-8781
Entity
Organization
Contact information
Practice address
3915 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55422-4249
(651) 287-8781
(651) 287-8782
Mailing address
514 SAINT PETER ST, SUITE 220, SAINT PAUL, MN 55102-1001
(651) 287-8781
(651) 287-8782
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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