Organization
TRIDENT CLINICAL PLLC
Active
Other names
TRIDENT HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARVIND MAHADEVAN M.D. (MEDICAL DIRECTOR)
(480) 241-2034
Entity
Organization
Contact information
Practice address
20340 N LAKE PLEASANT RD STE 109, PEORIA, AZ 85382-9713
(623) 299-9988
Mailing address
20340 N LAKE PLEASANT RD, SUITE 109, PEORIA, AZ 85382-9714
(623) 299-9988
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
40752
AZ
Other
Enumeration date
12/20/2014
Last updated
10/27/2016
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