Organization
OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA
Active
Other names
Concentra Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TOM FOGARTY MD (SENIOR VP / CHIEF MEDICAL OFFICER)
(972) 364-8103
Entity
Organization
Contact information
Practice address
120 WEST FINE STREET, FLAGSTAFF, AZ 86001
(928) 773-9695
(928) 773-0208
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST TOWER, ADDISON, TX 75001-4648
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
03/13/2007
Last updated
07/21/2010
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