Organization
EAST VALLEY URGENT CARE,LLC
Active
Other names
Urgent Care Extra- Cooper
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA GRONBERG (SENIOR EXECUTIVE VP OPERATIONS)
(480) 840-3075
Entity
Organization
Contact information
Practice address
641 W WARNER RD, GILBERT, AZ 85233
(480) 840-3075
Mailing address
3336 E CHANDLER HEIGHTS RD, STE 121, GILBERT, AZ 85298
(480) 840-3075
(480) 988-0061
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83288
MEDICARE ID- TYPE UNSPECIFIED
—
Enumeration date
10/04/2012
Last updated
10/04/2012
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