Organization
PHOENICIAN MEDICAL CENTER INC
Active
Organization
PHOENICIAN MEDICAL CENTER INC
Active
Other names
Phoenician Primary Care, AZ Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAM AHLAWAT (COO)
(480) 444-7447
Entity
Organization
Contact information
Practice address
1200 S CASTLE DOME AVE STE D, YUMA, AZ 85365-5305
(480) 963-1853
Mailing address
1343 N ALMA SCHOOL RD STE 160, CHANDLER, AZ 85224-5901
(928) 259-7008
(928) 859-7004
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
09/04/2025
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