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Organization

19TH AVENUE CLINIC

Active
Other names
ADVANCED URGENT CARE
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RENEE L BISKUPSKI (VP OF OPERATIONS)
(602) 433-1822
Entity
Organization

Contact information

Practice address
2423 W DUNLAP AVE STE 150, PHOENIX, AZ 85021-5818
(602) 216-6862
(602) 216-9745
Mailing address
PO BOX 32950, PHOENIX, AZ 85064-2950
(602) 275-6110
(602) 242-3519

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
07/31/2012
Last updated
07/31/2012
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