Organization
PURA PRIMARY CARE
Active
Organization
PURA PRIMARY CARE
Active
Parent organization
PURA PRIMARY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PURA PRIMARY CARE
Authorized official
FALLON R DAMICO PA-C (OWNER)
(602) 670-5413
Entity
Organization
Contact information
Practice address
9305 W THOMAS RD STE 285, PHOENIX, AZ 85037-3365
(602) 677-3801
Mailing address
9305 W THOMAS RD STE 285, PHOENIX, AZ 85037-3365
(602) 677-3801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
01/15/2024
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