Organization
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
Active
Parent organization
MARICOPA COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARICOPA COUNTY
Authorized official
JOEL KODICEK (SPECIALIZED SERVICES SUPERVISOR)
(480) 662-5475
Entity
Organization
Contact information
Practice address
1950 S COUNTRY CLUB DR, MESA, AZ 85210-6043
(602) 291-4414
(602) 372-0342
Mailing address
1645 E ROOSEVELT ST, PHOENIX, AZ 85006-3638
(602) 291-4414
(602) 372-0342
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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