Organization
BLU ADVOCATE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WALKENNIA ELAINE SIMPSON EARL AG-ANCP-BC (PRIMARY CARE NP)
(480) 388-2988
Entity
Organization
Contact information
Practice address
13029 W VISTA PASEO DR, LITCHFIELD PARK, AZ 85340-5572
(480) 388-2988
Mailing address
13029 W VISTA PASEO DR, LITCHFIELD PARK, AZ 85340-5572
(480) 388-2988
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
09/15/2020
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