Organization
URGENT CARE CENTERS OF ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROD BOWEN (OWNER)
(801) 633-6696
Entity
Organization
Contact information
Practice address
5045 W BASELINE RD, SUITE 110, LAVEEN, AZ 85339-7392
(602) 273-7373
(602) 273-7977
Mailing address
5045 W BASELINE RD, SUITE 110, LAVEEN, AZ 85339-7392
(801) 633-6696
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610033
—
AZ
Enumeration date
11/09/2010
Last updated
02/13/2013
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