Organization
VHS OUTPATIENT CLINICS, INC.
Active
Organization
VHS OUTPATIENT CLINICS, INC.
Active
Other names
Abrazo Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RASMUS (VP, CFO TPR)
(469) 893-2532
Entity
Organization
Contact information
Practice address
1325 N LITCHFIELD RD STE 125, GOODYEAR, AZ 85395-1215
(623) 242-1231
(623) 242-1232
Mailing address
PO BOX 18892, BELFAST, ME 04915-4083
(888) 402-7256
(888) 902-1099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/03/2006
Last updated
09/23/2020
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