Organization
GLENDALE UNION HIGH SCHOOL DIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOU WIEGAND (DIRECTOR OF BUSINESS)
(623) 435-6692
Entity
Organization
Contact information
Practice address
7650 N 43 AVE, GLENDALE, AZ 85301
(623) 435-6000
(623) 435-6078
Mailing address
7650 N 43 AVE, GLENDALE, AZ 85301
(623) 435-6000
(623) 435-6078
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
559320
AHCCCS
AZ
Enumeration date
10/19/2006
Last updated
08/22/2020
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