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Organization

ARIZONA GRAND MEDICAL CENTER PLLC

Active
Parent organization
ARIZONA GRAND MEDICAL CENTER, PLLC
Other names
Arizona Grand Medical Center- Crossings 2
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARIZONA GRAND MEDICAL CENTER, PLLC
Authorized official
SATWANT BHOWRA (CFO)
(602) 550-4065
Entity
Organization

Contact information

Practice address
3773 CROSSINGS DR, SUITE B, PRESCOTT, AZ 86305-7140
(602) 550-4065
(623) 934-5603
Mailing address
PO BOX 47729, PHOENIX, AZ 85068-7729
(602) 550-4065
(623) 934-5603

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
08/08/2014
Last updated
08/08/2014
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