Organization
POPHEALTHCARE MEDICAL SERVICES OF AZ, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PORTER (MANAGER, CREDENTIALING & LICENSING)
(615) 630-0988
Entity
Organization
Contact information
Practice address
1438 W BROADWAY RD STE 101, TEMPE, AZ 85282-1173
(877) 358-8109
Mailing address
113 SEABOARD LN STE 200B, FRANKLIN, TN 37067-8282
(800) 793-7050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
07/30/2024
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