Organization
PHYLOGENESIS FINANCIAL HOLDINGS LLC
Active
Other names
ONESTOP URGENT AND MEDICAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
FAWN BOONSTRA (OWNER)
(480) 286-7907
Entity
Organization
Contact information
Practice address
7615 E BASELINE RD, MESA, AZ 85209
(602) 206-2017
Mailing address
771 S CORNWALL DR, APACHE JUNCTION, AZ 85120-4812
(480) 286-7907
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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