Healthcare Provider Details
I. General information
NPI: 1740445238
Provider Name (Legal Business Name): APOGEE MEDICAL GROUP, WASHINGTON PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2008
Last Update Date: 02/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2525 E CAMELBACK RD SUITE 1100
PHOENIX AZ
85016-4219
US
IV. Provider business mailing address
PO BOX 2109
SANDY UT
84091-2109
US
V. Phone/Fax
- Phone: 602-778-3600
- Fax:
- Phone: 866-869-2395
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREN
J
HARWELL
Title or Position: CFO
Credential:
Phone: 602-778-3600