Organization
PRIMEBODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK GLIMCHER (OWNER)
(602) 732-4412
Entity
Organization
Contact information
Practice address
11611 E SAHUARO DR, SUITE 100, SCOTTSDALE, AZ 85259-3163
(602) 732-4418
(602) 569-9027
Mailing address
14500 N NORTHSIGHT BLVD, SUITE 200, SCOTTSDALE, AZ 85260-3658
(602) 732-4418
(602) 569-9027
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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