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Organization

MEMD PROVIDER NETWORK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLENN DEAN (CFO)
(480) 339-4573
Entity
Organization

Contact information

Practice address
6910 E CHAUNCEY LN STE 220, PHOENIX, AZ 85054-5162
(480) 339-4573
Mailing address
6910 E CHAUNCEY LN STE 220, PHOENIX, AZ 85054-5162
(480) 339-4573

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261QU0200X
Urgent Care Clinic/Center

Other

Enumeration date
08/11/2020
Last updated
09/22/2020
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