Organization
ERIC J CHURCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC J CHURCH MD (OWNER)
(602) 740-1282
Entity
Organization
Contact information
Practice address
4566 E VIA LOS CABALLOS, PHOENIX, AZ 85028-6140
(602) 740-1282
(480) 636-8356
Mailing address
PO BOX 1847, GILBERT, AZ 85299-1847
(480) 507-2961
(480) 507-2971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28649
AZ
Other
Enumeration date
07/13/2013
Last updated
07/13/2013
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