PROVIDENCE GENERAL MEDICINE is a medical specialty clinic center in Phoenix, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PROVIDENCE GENERAL MEDICINE NPI is 1508180043. The provider is registered as an organization entity type.
The provider's business location address is:
1701 W GLENDALE AVE
PHOENIX, AZ
ZIP 85021-701
Phone: (602) 246-9090
Fax: (602) 246-9867
The provider's authorized official is Blanca Marquez .
The authorized official title is Manager and has the following contact phone number (602) 254-7077.
The CLIA number assigned to this NPI record is 03D1093775 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/25/2010 and was last updated on 3/25/2010.