Organization
ARIZONA GENERAL ER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM FIELDING (CFO)
(972) 899-6650
Entity
Organization
Contact information
Practice address
7171 S. 51ST AVE, LAVEEN, AZ 85339
(972) 899-6650
(972) 899-5954
Mailing address
PO BOX 840795, DALLAS, TX 75284-0795
(972) 899-6650
(972) 899-5954
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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