MEDICO NPI 1730648809

NPI Information

MEDICO is a general practice in Glendale, AZ. MEDICO NPI is 1730648809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6120 W BELL RD STE 100
GLENDALE, AZ
ZIP 85308-780
Phone: (833) 263-3426
Fax: (866) 264-4120

The provider's authorized official is Glenn Kunsman .
The authorized official title is Ceo and has the following contact phone number (928) 377-2882.

The CLIA number assigned to this NPI record is 03D2212309 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2019 and was last updated on 11/15/2021.

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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