Organization
ARIZONA ENDOCRINOLOGY CENTER, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GURBAKSH KAUR SANDHU (OFFICE MANAGER)
(602) 439-9623
Entity
Organization
Contact information
Practice address
15640 N 28TH DR, PHOENIX, AZ 85053-4059
(602) 439-9623
(602) 978-5233
Mailing address
15640 N 28TH DR, PHOENIX, AZ 85053-4059
(602) 439-9623
(602) 978-5233
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
Z121980
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00626619
RAILROAD MEDICARE
AZ
Enumeration date
04/30/2008
Last updated
12/17/2013
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