Organization
THE LITTLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SHELLY (VP & GENERAL MANAGER)
(615) 425-4287
Entity
Organization
Contact information
Practice address
4204 W CACTUS RD, PHOENIX, AZ 85029
(602) 547-5919
(602) 547-7023
Mailing address
4204 W CACTUS RD, PHOENIX, AZ 85029-2924
(602) 547-5919
(602) 547-7023
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP8609
AZ
Other
Enumeration date
04/08/2016
Last updated
10/22/2025
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