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NPI Code Detail

MEDICARE: URGENT CARE PLUS L.L.C.

MEDICARE: URGENT CARE PLUS L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/CenterOTC 3926AZ

General Provider Information

NPI Number : 1659349918
Entity Type Code : Organization
Provider Name (Legal Business Name) : URGENT CARE PLUS L.L.C.
Provider Business Mailing Address
First Line : 1002 E MCDOWELL RD
Second Line : SUITE # 120
City : PHOENIX
State : AZ
Zip : 85006-2625
Country : US
Telephone Number : 602-256-2273
Fax Number : 602-258-5638
Provider Business Practice Location Address
First Line : 1002 E MCDOWELL RD
Second Line : SUITE # 120
City : PHOENIX
State : AZ
Zip : 85006-2625
Country : US
Telephone Number : 602-256-2273
Fax Number : 602-258-5638
Authorized Official
Title or Position : ADMINISTRATOR
Name : PROF. DENNIS R. GRAVISS
Credential : PH.D.
Telephone Number : 602-256-2273
Provider Enumeration Date : 03/10/2006
Last Update Date : 07/21/2022

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Directions to “URGENT CARE PLUS L.L.C. ” Practice Location

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