Organization
INTEGRO HEALTH SYSTEMS, INC.
Active
Parent organization
INTEGRO HEALTH SYSTEMS, INC.
Other names
Integro Health Systems Outpatient Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRO HEALTH SYSTEMS, INC.
Authorized official
DR. MARCO VALERIO CANULLA MD (CEO)
(602) 571-6521
Entity
Organization
Contact information
Practice address
2728 N 24TH ST, PHOENIX, AZ 85008-1050
(602) 535-8200
(602) 457-2517
Mailing address
1501 E ORANGEWOOD AVE, PHOENIX, AZ 85020-5130
(602) 535-8200
(602) 457-2517
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
12/10/2018
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