Organization
CENTERWELL SENIOR PRIMARY CARE AZ PC
Active
Parent organization
CENTERWELL SENIOR PRIMARY CARE AZ PC
Other names
CenterWell Senior Primary Care-West Grand
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTERWELL SENIOR PRIMARY CARE AZ PC
Authorized official
BRIENNE JANSEN LOY (OWNER)
(832) 667-4150
Entity
Organization
Contact information
Practice address
13945 W GRAND AVE STE 102, SURPRISE, AZ 85374-2437
(024) 286-9156
(602) 429-8531
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
02/27/2024
Last updated
08/19/2024
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