Organization
CLINICAL ASSOCIATES OF ARIZONA LLC
Active
Organization
CLINICAL ASSOCIATES OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA SPRADLING FNP-C (CO-OWNER)
(623) 208-0589
Entity
Organization
Contact information
Practice address
5700 W OLIVE AVE STE 102, GLENDALE, AZ 85302-3147
(480) 438-5529
Mailing address
PO BOX 417, PEORIA, AZ 85380-0417
(480) 438-5529
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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