Organization
DIOCESAN COUNCIL OF THE SOCIETY OF ST. VINCENT DE PAUL DIOCESE OF PHX
Active
Other names
St. Vincent de Paul Virginia G. Piper Medical & Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ERTL RN, MHSA (CLINIC DIRECTOR)
(602) 261-6880
Entity
Organization
Contact information
Practice address
420 W WATKINS RD, PHOENIX, AZ 85003-2830
(602) 261-6825
Mailing address
PO BOX 13600, PHOENIX, AZ 85002-3600
(602) 261-6825
(602) 261-6816
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
OTC 0669
AZ
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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