Organization
AMERICAN CURRENT CARE OF ARIZONA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM TOM FOGARTY MD (PRESIDENT)
(800) 232-8550
Entity
Organization
Contact information
Practice address
120 WEST FINE AVE, FLAGSTAFF, AZ 86001
(928) 773-9695
(928) 773-0208
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST, ADDISON, TX 75001-4625
(800) 232-3550
(972) 387-8058
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300205
—
AZ
Enumeration date
08/15/2007
Last updated
06/30/2010
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