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Organization

CIGNA HEALTH CARE OF ARIZONA INC

Active
Other names
EVERNORTH Care Group Radiology
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN ELLIS DO (CHIEF MEDICAL DIRECTOR)
(623) 277-2246
Entity
Organization

Contact information

Practice address
25500 N NORTERRA DR, ATTN: HCFS (SUPPORT CENTER), PHOENIX, AZ 85085-8200
(602) 328-8400
Mailing address
25500 N NORTERRA DR, ATTN: HCFS, PHOENIX, AZ 85085-8200
(602) 328-8400

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
08/22/2006
Last updated
09/07/2022
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