Organization
MOUNTAIN PARK HEALTH CENTER
Active
Parent organization
MOUNTAIN PARK HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN PARK HEALTH CENTER
Authorized official
JOHN SWAGERT MD (CHIEF EXECUTIVE OFFICER)
(602) 323-3470
Entity
Organization
Contact information
Practice address
325 E BASELINE RD, PHOENIX, AZ 85042-6589
(602) 323-3435
(602) 305-8590
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3242
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
3254
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3254
BOARD OF PHARMACY
AZ
05
—
530073
—
AZ
Enumeration date
02/06/2008
Last updated
05/08/2025
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