Organization
HONORHEALTH
Active
Organization
HONORHEALTH
Active
Other names
Gavilan Peak
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY WILSON (PRACTICE MANAGER)
(623) 434-6467
Entity
Organization
Contact information
Practice address
3648 W ANTHEM WAY, A-100, ANTHEM, AZ 85086-7001
(623) 434-6467
Mailing address
3648 W ANTHEM WAY, A-100, ANTHEM, AZ 85086
(623) 434-6467
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
13446
AZ
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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