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Organization

OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA

Active
Other names
Concentra Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM TOM FOGARTY M.D. (SENIOR VP / CHIEF MEDICAL OFFICER)
(972) 364-8103
Entity
Organization

Contact information

Practice address
901 EAST JEFFERSON STREET, PHOENIX, AZ 85034
(602) 256-2281
(602) 256-6199
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST TOWER, ADDISON, TX 75001
(800) 232-3550

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
OTC-679
AZ
261QP2000X
Physical Therapy Clinic/Center
OTC 679
AZ
261QX0100X
Occupational Medicine Clinic/Center
OTC-679
AZ

Other

Enumeration date
06/15/2006
Last updated
07/21/2010
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