Organization
CIRCLE THE CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON STEVEN CLARK (CHIEF EXECUTIVE OFFICER)
(602) 776-9000
Entity
Organization
Contact information
Practice address
333 W INDIAN SCHOOL RD, PHOENIX, AZ 85013-3205
(602) 776-9000
Mailing address
333 W INDIAN SCHOOL RD, PHOENIX, AZ 85013-3205
(602) 776-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
UNC5520
AZ
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808439
—
AZ
Enumeration date
01/24/2013
Last updated
04/13/2015
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