Organization
POPHEALTHCARE MEDICAL SERVICES OF AZ, PC
Active
Other names
PopHealthCare Medical Services of AZ, PC - FQ Washington
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PORTER (DIRECTOR)
(615) 500-2199
Entity
Organization
Contact information
Practice address
51 W 3RD ST STE 500, TEMPE, AZ 85281
(480) 237-5099
(877) 358-8109
Mailing address
113 SEABOARD LN STE 200B, FRANKLIN, TN 37067-8282
(800) 793-7050
(877) 358-8109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/19/2018
Last updated
08/15/2024
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