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Organization

GOLDEN TRINITY HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANDRA GARVIN (PROVIDER)
(480) 567-2526
Entity
Organization

Contact information

Practice address
40616 W ART PL, MARICOPA, AZ 85138-5221
(480) 567-2526
(480) 750-2444
Mailing address
20987 N JOHN WAYNE PKWY # B104-215, MARICOPA, AZ 85139-2926
(480) 567-2526
(480) 750-2444

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881140259
AZ
Enumeration date
12/03/2018
Last updated
03/15/2019
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