SHAFA MEDICAL CLINIC PC is a clinic center in Phoenix, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SHAFA MEDICAL CLINIC PC NPI is 1194906925. The provider is registered as an organization entity type.
The provider's business location address is:
202 E EARLL DR STE 150
PHOENIX, AZ
ZIP 85012-636
Phone: (602) 248-8258
Fax: (602) 248-8259
The provider's authorized official is Amanda Modesta .
The authorized official title is Medical Director /president and has the following contact phone number (602) 248-8258.
The CLIA number assigned to this NPI record is 03D0969533 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/20/2007 and was last updated on 11/20/2007.