Organization
SOUTHWEST PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERNA M PALACIO (OFFICE MANAGER)
(480) 626-6800
Entity
Organization
Contact information
Practice address
1315 W SOUTHERN AVE, TEMPE, AZ 85282-4519
(480) 705-9413
(480) 705-0858
Mailing address
1315 W SOUTHERN AVE, TEMPE, AZ 85282-4519
(480) 705-9413
(480) 705-0858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1876
AZ
Other
Enumeration date
05/21/2007
Last updated
07/17/2007
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