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Organization

VINEYARD COMMUNITY CHARITIES

Active
Other names
Vineyard Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DESTINY BRUMMETT (CLINIC ADMINISTRATIVE ASSISTANT)
(623) 234-2999
Entity
Organization

Contact information

Practice address
6250 W PEORIA AVE, GLENDALE, AZ 85302-1000
(623) 234-2999
Mailing address
6250 W PEORIA AVE, GLENDALE, AZ 85302-1000
(623) 234-2999

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/09/2024
Last updated
08/09/2024
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