CACTUS MEDICAL CENTER LLC NPI 1710487905

NPI Information

CACTUS MEDICAL CENTER LLC is a general practice in Peoria, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CACTUS MEDICAL CENTER LLC NPI is 1710487905. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ
ZIP 85382-747
Phone: (623) 376-8225

The provider's authorized official is Brandon Kulp .
The authorized official title is Owner and has the following contact phone number (623) 376-8225.

The enumeration date for this NPI number is 2/14/2018 and was last updated on 2/14/2019.

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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