Organization
AFC PHYSICAL MEDICINE OF DESERT RIDGE, PLLC
Active
Parent organization
AFC PHYSICAL MEDICINE OF DESERT RIDGE, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFC PHYSICAL MEDICINE OF DESERT RIDGE, PLLC
Authorized official
EUGENIA URSAN NP (MEDICAL DIRECTOR)
(480) 563-1144
Entity
Organization
Contact information
Practice address
20860 N TATUM BLVD, SUITE 290, PHOENIX, AZ 85050-4274
(480) 563-1144
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
04/04/2014
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