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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