Organization
FORD MEDICAL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELLA CORDOVA (PARTNER)
(623) 326-1055
Entity
Organization
Contact information
Practice address
11624 E BELLFLOWER DR, CHANDLER, AZ 85249-4525
(623) 326-1055
Mailing address
11624 E BELLFLOWER DR, CHANDLER, AZ 85249-4525
(623) 326-1055
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
AZ
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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