Organization
SPIRIT HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL SOCKRIDER NP (OWNER)
(602) 663-0945
Entity
Organization
Contact information
Practice address
12333 W DESERT MIRAGE DR, PEORIA, AZ 85383-3449
(602) 663-0945
Mailing address
12333 W DESERT MIRAGE DR, PEORIA, AZ 85383-3449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
10/20/2023
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