Organization
ARIZONA GRAND MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATTY BHOWRA (ADMINISTRATOR)
(602) 550-4065
Entity
Organization
Contact information
Practice address
7900 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-2218
(928) 632-1155
(928) 632-8295
Mailing address
PO BOX 47729, PHOENIX, AZ 85068-7729
(602) 550-4065
(623) 934-5603
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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