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Organization

ARIZONA DEPARTMENT OF CORRECTIONS

Active
Other names
ADC Health Services Bureau
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS KENDALL PHD (BUREAU ADMINISTRATOR)
(602) 364-2900
Entity
Organization

Contact information

Practice address
2500 E VAN BUREN ST, ASPC PHOENIX HEALTH UNIT, PHOENIX, AZ 85008-6037
(602) 685-3100
(602) 685-3111
Mailing address
1601 W JEFFERSON ST, PHOENIX, AZ 85007-3002
(602) 364-2900
(602) 364-2958

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
AZ

Other

Enumeration date
07/26/2007
Last updated
08/03/2007
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