Organization
INFINITY MEDICAL PROVIDERS LLC
Active
Other names
Infinity Medical Providers
Organization subpart
No
Provider details
NPI number
Authorized official
KAREEM MCCLESKEY (ADMINISTRATOR)
(602) 699-4066
Entity
Organization
Contact information
Practice address
350 E EVA ST, PHOENIX, AZ 85020-2564
(773) 410-1676
Mailing address
21001 N TATUM BLVD, STE 1630 BOX 941, PHOENIX, AZ 85050-4242
(602) 699-4066
(480) 275-4229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004822
—
AZ
Enumeration date
03/16/2020
Last updated
09/30/2024
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