Organization
SCOTTSDALE GENERAL MEDICAL CENTER
Active
Other names
Southwestern Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES L ROGERS (OWNER MANAGER)
(877) 943-4673
Entity
Organization
Contact information
Practice address
1402 N MILLER RD, A-1, SCOTTSDALE, AZ 85257-3658
(877) 943-4673
Mailing address
PO BOX 2065, HOUSTON, TX 77252-2065
(281) 820-1900
(281) 820-1901
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
32668
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32668
STATE OF ARIZONA
AZ
Enumeration date
04/29/2011
Last updated
04/29/2011
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