Organization
KEVIN WARREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1520 S DOBSON RD, SUITE 203, MESA, AZ 85202-4725
(480) 412-4839
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(480) 412-4839
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
5450
AZ
Other
Enumeration date
08/30/2013
Last updated
12/28/2021
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