DIOCESAN COUNCIL OF THE SOCIETY OF ST. VINCENT DE PAUL DIOCESE OF PHX NPI 1952572240

NPI Information

DIOCESAN COUNCIL OF THE SOCIETY OF ST. VINCENT DE PAUL DIOCESE OF PHX is a community health clinic center in Phoenix, AZ. DIOCESAN COUNCIL OF THE SOCIETY OF ST. VINCENT DE PAUL DIOCESE OF PHX NPI is 1952572240. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Vincent De Paul Virginia G. Piper Medical & Dental Clinic.

The provider's business location address is:

420 W WATKINS RD
PHOENIX, AZ
ZIP 85003-830
Phone: (602) 261-6825

The provider's authorized official is Janice Ertl .
The authorized official title is Clinic Director and has the following contact phone number (602) 261-6880.

The CLIA number assigned to this NPI record is 03D0885703 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/14/2008 and was last updated on 3/14/2008.

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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