Organization
INDIGO HEALTH CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOVINDA CHANDRA SATAPATHY MD (PRESIDENT)
(623) 849-1988
Entity
Organization
Contact information
Practice address
9305 W THOMAS RD, #285, PHOENIX, AZ 85037-3328
(623) 849-1988
(623) 849-1981
Mailing address
8753 W IRMA LN, PEORIA, AZ 85382-6440
(623) 849-1988
(623) 849-1981
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371203
—
AZ
Enumeration date
07/17/2006
Last updated
03/07/2008
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