Organization
CONNECTICUT GENERAL LIFE INSURANCE COMPANY (CGLIC)
Active
Other names
CIGNA Onsite Health, LLC; REGIS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BURRELL III M.D (CHIEF MEDICAL DIRECTOR)
(623) 277-2351
Entity
Organization
Contact information
Practice address
7101 METRO BLVD, MINNEAPOLIS, MN 55439-2117
(952) 806-1276
Mailing address
25500 N NORTERRA DR, PHOENIX, AZ 85085-8200
(877) 733-1710
(623) 277-1091
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
05/07/2014
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