Healthcare Provider Details

I. General information

NPI: 1699328674
Provider Name (Legal Business Name): UHS OF PHOENIX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2019
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 W QUAIL AVE
PHOENIX AZ
85027-2418
US

IV. Provider business mailing address

2545 W QUAIL AVE
PHOENIX AZ
85027-2418
US

V. Phone/Fax

Practice location:
  • Phone: 602-455-5700
  • Fax:
Mailing address:
  • Phone: 602-455-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: PRESIDENT
Credential:
Phone: 610-768-3300