Healthcare Provider Details
I. General information
NPI: 1700423415
Provider Name (Legal Business Name): HONORHEALTH URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/02/2019
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20745 N SCOTTSDALE RD STE 105
SCOTTSDALE AZ
85255-6453
US
IV. Provider business mailing address
2500 W UTOPIA RD STE 100
PHOENIX AZ
85027-4172
US
V. Phone/Fax
- Phone: 480-587-5520
- Fax:
- Phone: 480-587-5314
- Fax: 480-882-5874
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAVAS
PETRIDES
Title or Position: SVP
Credential:
Phone: 480-696-4020