Organization
CONCENTRA PRIMARY CARE OF ARIZONA PA
Active
Other names
Hatfield Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TOM FOGARTY MD (VP, TREASURER)
(972) 364-8000
Entity
Organization
Contact information
Practice address
595 N DOBSON RD, SUITE D-65, CHANDLER, AZ 85224-4226
(480) 545-1100
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST, ADDISON, TX 75001-4648
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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