Healthcare Provider Details

I. General information

NPI: 1477822476
Provider Name (Legal Business Name): AMERICAN CURRENT CARE OF ARIZONA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2011
Last Update Date: 06/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7119 E BROADWAY BLVD
TUCSON AZ
85710-1404
US

IV. Provider business mailing address

5080 SPECTRUM DR SUITE 1200W
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 520-881-0050
  • Fax: 520-795-8815
Mailing address:
  • Phone: 972-364-8000
  • Fax: 214-775-4502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JOHN ANDERSON
Title or Position: PRESIDENT
Credential: DO
Phone: 972-364-8000