Organization
MAGELLAN HEALTH SERVICES OF ARIZONA, INC.
Active
Other names
Maricopa - UPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS ADAIR CARSON M.D. (CEO)
(602) 797-8333
Entity
Organization
Contact information
Practice address
903 N 2ND ST, PHOENIX, AZ 85004-1906
(602) 416-7600
Mailing address
4129 E VAN BUREN ST, SUITE 150, PHOENIX, AZ 85008-6939
(800) 654-5465
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
BH2691
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127960
—
AZ
Enumeration date
03/26/2007
Last updated
09/20/2007
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