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Organization

EMERGENCY & ACUTE CARE MEDICAL COMPANY - AZ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARTHUR LAWRENCE GRUEN M.D. (PRESIDENT)
(858) 759-4765
Entity
Organization

Contact information

Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Mailing address
PO BOX 81243, SAN DIEGO, CA 92138-1243
(619) 285-5990

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
828212
AZ
Enumeration date
05/18/2006
Last updated
08/22/2020
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