PHOENIX HEALTHCARE CLINIC NPI 1194000570

NPI Information

PHOENIX HEALTHCARE CLINIC is a family medicine in Overland Park, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHOENIX HEALTHCARE CLINIC NPI is 1194000570. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11960 QUIVIRA ROAD
SUITE #100
OVERLAND PARK, KS
ZIP 66213
Phone: (913) 851-0500
Fax: (913) 851-0502

The provider's authorized official is Dana Hanson .
The authorized official title is Aprn and has the following contact phone number (913) 549-8197.

The CLIA number assigned to this NPI record is 17D2030238 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/17/2011 and was last updated on 10/17/2011.

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:

Other Identifiers

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