MOLLEN IMMUNIZATION CLINICS OF NORTH AMERICA, INC.; NPI #1487784450

Contact Information

MOLLEN IMMUNIZATION CLINICS OF NORTH AMERICA, INC.

4602 N 16TH ST
SUITE 200
PHOENIX, AZ 85016-5189

Phone: 602-264-9806
Fax: 602-264-9846
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for MOLLEN IMMUNIZATION CLINICS OF NORTH AMERICA, INC.

NPI #	`1487784450`
LBN Legal business name	MOLLEN IMMUNIZATION CLINICS OF NORTH AMERICA, INC.
Authorized official	BEVERLY WATTS - (SR. VICE PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/07/2007
Last updated	11/14/2007 - About 19 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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