Organization
ARIZONA OCCUPATIONAL MEDICAL CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON DEVANE (MANAGER)
(562) 506-5215
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD STE 105, MESA, AZ 85206-4616
(562) 506-5215
Mailing address
3200 N CENTRAL AVE STE 2000, PHOENIX, AZ 85012-2440
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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