Organization
REVOLUTION MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE SAGE HAGGARD N.M.D. (CLINIC DIRECTOR)
(602) 463-7177
Entity
Organization
Contact information
Practice address
2015 E CAMELBACK RD, PHOENIX, AZ 85016-4710
(602) 840-4400
(602) 840-0490
Mailing address
2015 E CAMELBACK RD, PHOENIX, AZ 85016-4710
(602) 840-4400
(602) 840-0490
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
04836
AZ
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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