Organization
PHOENIX VA HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN NELSON MCVADE JR. LMSW (SOCIAL WORKER)
(602) 510-7971
Entity
Organization
Contact information
Practice address
232 S 12TH AVE, PHOENIX, AZ 85007-3101
(602) 510-7971
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
LMSW-13456
AZ
Other
Enumeration date
01/23/2013
Last updated
03/20/2013
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