19TH AVENUE CLINIC LLC NPI 1225384985

NPI Information

19TH AVENUE CLINIC LLC is an urgent care clinic center in Phoenix, AZ. 19TH AVENUE CLINIC LLC NPI is 1225384985. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Urgent Care.

The provider's business location address is:

401 E BELL RD STE 18
PHOENIX, AZ
ZIP 85022-395
Phone: (602) 368-1403
Fax: (602) 368-1413

The provider's authorized official is Renee L Biskupski .
The authorized official title is Vp Of Operations and has the following contact phone number (602) 433-1822.

The enumeration date for this NPI number is 7/31/2012 and was last updated on 7/31/2012.

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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