Organization
PHOENICIAN MEDICAL CENTER, INC
Active
Other names
Phoenician Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANUPAM AHLAWAT (VP OPERATIONS)
(480) 444-7447
Entity
Organization
Contact information
Practice address
606 N COUNTRY CLUB DR STE 1, MESA, AZ 85201-5700
(480) 963-1853
(480) 963-1954
Mailing address
1343 N ALMA SCHOOL RD STE 160, CHANDLER, AZ 85224-5901
(480) 963-1985
(480) 963-1854
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/29/2023
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