Organization
MAGELLAN HEALTH SERVICES - TEMPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY M. DEFFENBAUGH RN (REGISTERED NUSE - CLINIC)
(480) 929-5100
Entity
Organization
Contact information
Practice address
1225 E BROADWAY RD, TEMPE, AZ 85282-1525
(480) 929-5100
(480) 731-1066
Mailing address
1225 E BROADWAY RD, TEMPE, AZ 85282-1525
(480) 929-5100
(480) 731-1066
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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