Organization
ARIZONA STATE UNIVERSITY
Active
Organization
ARIZONA STATE UNIVERSITY
Active
Other names
Escalante Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE LINK WHNP-BC (ASSOCIATE DEAN FOR CLINICAL PRACTIC)
(602) 496-0893
Entity
Organization
Contact information
Practice address
2150 E ORANGE ST, TEMPE, AZ 85281-4814
(480) 350-5878
Mailing address
500 N 3RD ST, ROOM 482A, PHOENIX, AZ 85004-2135
(602) 496-0893
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OTC3716
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z21383
MEDICARE ID NUMBER
AZ
Enumeration date
09/11/2009
Last updated
10/26/2009
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