Organization
COMMUNITY HEALTHCARE OF DOUGLAS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA C BERRY (EXECUTIVE ASSISTANT)
(520) 805-5943
Entity
Organization
Contact information
Practice address
2174 W OAK AVE, DOUGLAS, AZ 85607-6003
(520) 805-5943
(520) 364-2551
Mailing address
2174 WEST OAK AVENUE, DOUGLAS, AZ 85607
(520) 805-5943
(520) 364-2551
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
H-0015
AZ
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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