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Organization

CIGNA HEALTH CARE OF ARIZONA INC

Active
Other names
EVERNORTH Care Group Stapley Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN ELLIS D.O (CHIEF MEDICAL DIRECTOR)
(623) 277-2246
Entity
Organization

Contact information

Practice address
1840 S STAPLEY DRIVE, SUITE 101, MESA, AZ 85204
(480) 464-8500
Mailing address
8888 E RAINTREE DR FL 3, SCOTTSDALE, AZ 85260-3951
(602) 328-8400

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
OTC 4338
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061797
AZ
Enumeration date
08/31/2006
Last updated
06/16/2023
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