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Active
Other names
Laveen Medical Pavilion
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANN GLOVER (CEO)
(602) 252-1775
Entity
Organization

Contact information

Practice address
3340 W SOUTHERN AVE, PHOENIX, AZ 85041-4308
(480) 330-8468
(602) 252-1371
Mailing address
1325 W PIMA RD, PHOENIX, AZ 85007-4142
(602) 252-1775
(602) 252-1371

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
AZ

Other

Enumeration date
05/26/2010
Last updated
08/11/2010
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