REVOLUTION MEDICAL CENTER INC NPI 1376727610

NPI Information

REVOLUTION MEDICAL CENTER, INC is a non pharmacy dispensing site in Phoenix, AZ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) REVOLUTION MEDICAL CENTER, INC NPI is 1376727610. The provider is registered as an organization entity type.

The provider's business location address is:

2015 E CAMELBACK RD
PHOENIX, AZ
ZIP 85016-710
Phone: (602) 840-4400
Fax: (602) 840-0490

The provider's authorized official is Jesse Sage Haggard .
The authorized official title is Clinic Director and has the following contact phone number (602) 463-7177.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 12/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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