Organization
CAMELBACK PULMONARY AND CRITICAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGORY HORONENKO JR. DO (MD/OWNER)
(602) 999-6268
Entity
Organization
Contact information
Practice address
1111 E MCDOWELL RD FL 11, PHOENIX, AZ 85006-2612
(602) 999-6268
Mailing address
4641 N 39TH PL, PHOENIX, AZ 85018-3612
(602) 999-6268
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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