MEDICARE: COMPREHENSIVE HEALTH SERVICES LTD.

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
1	207Q00000X	Family Medicine Physician	4257	AZ
2	208C00000X	Colon & Rectal Surgery Physician	133	AZ

General Provider Information

NPI Number	:	1952509267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE HEALTH SERVICES LTD.

Provider Business Mailing Address
First Line	:	PO BOX 39179
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85069-9179
Country	:	US
Telephone Number	:	602-395-0718
Fax Number	:

Provider Business Practice Location Address
First Line	:	3543 N 7TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-5204
Country	:	US
Telephone Number	:	602-263-8484
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LESLIE DIGGES
Credential	:
Telephone Number	:	602-308-7822

Provider Enumeration Date	:	07/07/2007
Last Update Date	:	08/07/2007

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Directions to “COMPREHENSIVE HEALTH SERVICES LTD. ” Practice Location

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