Organization
UNITED MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIAGNE ARIELLE DUAVE (PRESIDENT)
(702) 588-1938
Entity
Organization
Contact information
Practice address
625 W SOUTHERN AVE STE E, MESA, AZ 85210-5018
(702) 588-1938
Mailing address
625 W SOUTHERN AVE STE E, MESA, AZ 85210-5018
(702) 588-1938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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