Organization
UCXTRA UMBRELLA, LLC
Active
Other names
Urgent Care Extra AZ
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY M. PANDURO (DIRECTOR OF OPERATIONS)
(480) 663-2432
Entity
Organization
Contact information
Practice address
6702 W BETHANY HOME RD, SUITE 13, 14 & 15, GLENDALE, AZ 85303-4402
(623) 435-7000
(623) 435-3947
Mailing address
1250 S CLEARVIEW AVE, SUITE 100, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
1518952365
AZ
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
04/03/2015
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