Organization
REVOLUTION HEALTH MEDICAL CENTER
Active
Organization
REVOLUTION HEALTH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE GORMAN N.M.D (CEO)
(602) 265-1774
Entity
Organization
Contact information
Practice address
1641 E OSBORN RD, SUITE 6, PHOENIX, AZ 85016-7146
(602) 265-1774
(602) 265-1738
Mailing address
1641 E OSBORN RD, SUITE 6, PHOENIX, AZ 85016-7146
(602) 265-1774
(602) 265-1738
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
15-1501
AZ
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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