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Organization

CONCIERGE HEALTHCARE OF AZ CHAZ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIMONE M JUHL (PRACTICE ADMINISTRATOR)
(602) 565-8830
Entity
Organization

Contact information

Practice address
7702 E DOUBLETREE RANCH RD STE 300, SCOTTSDALE, AZ 85258-2132
(480) 348-8006
(480) 718-7537
Mailing address
7702 E DOUBLETREE RANCH RD STE 300, SCOTTSDALE, AZ 85258-2132
(480) 348-8006
(480) 401-0813

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
16208
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
AZ
Enumeration date
01/08/2018
Last updated
09/13/2018
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