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Organization

AKOS LIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DESERIE TSOSIE (CREDENTIALING SPECIALIST)
(602) 935-6389
Entity
Organization

Contact information

Practice address
4970 S ALMA SCHOOL RD, CHANDLER, AZ 85248-5502
(602) 899-4404
Mailing address
PO BOX 41638, PHOENIX, AZ 85080-1638
(602) 935-6389

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
01/16/2019
Last updated
01/16/2019
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