Organization
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
Active
Organization
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
Active
Other names
Alegis Care New Jersey PC
Organization subpart
No
Provider details
NPI number
Authorized official
DIRK WALES MD (CEO)
(623) 277-1170
Entity
Organization
Contact information
Practice address
25500 N NORTERRA DR, PHOENIX, AZ 85085-8200
(877) 733-1710
(623) 277-1091
Mailing address
25500 N NORTERRA DR, PHOENIX, AZ 85085-8200
(877) 733-1710
(623) 277-1091
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
12/06/2016
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