Organization
QUICK CARE EAST VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALLEN M.D. (PRESIDENT)
(480) 699-4555
Entity
Organization
Contact information
Practice address
7233 E BASELINE RD, STE 127, MESA, AZ 85209-5007
(480) 699-4555
(480) 699-3033
Mailing address
7233 E BASELINE RD, STE 127, MESA, AZ 85209-5007
(480) 699-4555
(480) 699-3033
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
36540
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119260-1215960638
MEDICARE PTAN
AZ
01
—
1952380925
NPI
AZ
05
—
569897
—
AZ
Enumeration date
02/24/2012
Last updated
02/24/2012
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