Organization
KENTON L. LINGAFELTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY RICHARDSON RN (EXECUTIVE DIRECTOR)
(480) 320-4730
Entity
Organization
Contact information
Practice address
4530 E SHEA BLVD STE 175, PHOENIX, AZ 85028-6084
(480) 320-4730
(602) 971-2147
Mailing address
4530 E SHEA BLVD STE 175, PHOENIX, AZ 85028-6084
(480) 320-4730
(602) 971-2147
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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