Organization
19TH AVENUE CLINIC LLC
Active
Other names
ADVANCED URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE L BISKUPSKI (VP OF OPERATIONS)
(602) 433-1822
Entity
Organization
Contact information
Practice address
5201 N 19TH AVE STE 100, PHOENIX, AZ 85015-2951
(602) 795-1411
(602) 795-1999
Mailing address
PO BOX 32950, PHOENIX, AZ 85064-2950
(602) 275-6110
(602) 242-3519
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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