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Organization

MARICOPA COUNTY DBA MARICOPA COUNTY OF PUBLIC HEALTH SERVICES DBA PUBL

Active
Parent organization
MARICOPA COUNTY DBA MARICOPA COUNTY OF PUBLIC HEALTH SERVICES DBA PUBL
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARICOPA COUNTY DBA MARICOPA COUNTY OF PUBLIC HEALTH SERVICES DBA PUBL
Authorized official
CORINNE VELASQUEZ (CLINICAL ADMINISTRATOR)
(602) 506-6657
Entity
Organization

Contact information

Practice address
1645 E ROOSEVELT STREET, PHOENIX, AZ 85006
(602) 506-6997
(602) 372-0342
Mailing address
1645 E. ROOSEVELT STREET, PHOENIX, AZ 85006
(602) 506-6997
(602) 372-0342

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
AZ016
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
099267
AZ
Enumeration date
08/13/2012
Last updated
08/13/2012
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