Organization
OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA
Active
Organization
OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM TOM FOGARTY MD (PRESIDENT)
(800) 232-3550
Entity
Organization
Contact information
Practice address
7400 W. OLIVE AVENUE, SUITE 1, PEORIA, AZ 85345
(623) 487-8598
(623) 487-8647
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST, ADDISON, TX 75001-4625
(800) 232-3550
(972) 387-8058
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
08/04/2006
Last updated
07/21/2010
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