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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