Organization
PB MEDICAL GROUP OF ARIZONA, LLC
Active
Organization
PB MEDICAL GROUP OF ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE KUCHINSKAS (VP PAYER RELATIONS & OPERATIONS)
(562) 303-9741
Entity
Organization
Contact information
Practice address
3000 N 91ST AVE, PHOENIX, AZ 85037-4037
(480) 840-2588
Mailing address
7444 LONG AVE, SKOKIE, IL 60077-3214
(847) 329-4100
(847) 329-4900
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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