Healthcare Provider Details

I. General information

NPI: 1801997077
Provider Name (Legal Business Name): EMURGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 E INDIAN SCHOOL RD SUITE 211
PHOENIX AZ
85018-5441
US

IV. Provider business mailing address

4730 E INDIAN SCHOOL RD SUITE 211
PHOENIX AZ
85018-5441
US

V. Phone/Fax

Practice location:
  • Phone: 602-354-3491
  • Fax: 602-595-8567
Mailing address:
  • Phone: 602-354-3491
  • Fax: 602-595-8567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateAZ

VIII. Authorized Official

Name: DR. BRADLEY STEVEN BUTLER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 602-354-3491