Organization
PHOENIX UNION HIGH SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA TARP (MIPS SPECIALIST)
(602) 764-1008
Entity
Organization
Contact information
Practice address
4502 N CENTRAL AVE, PHOENIX, AZ 85012-1817
(602) 764-1100
Mailing address
4502 N CENTRAL AVE, PHOENIX, AZ 85012-1817
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
LP048021
AZ
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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