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19TH AVENUE CLINIC is an urgent care facility/clinic in PHOENIX, AZ. The VP OF OPERATIONS of 19TH AVENUE CLINIC is RENEE BISKUPSKI. Their NPI profile information was initially created about 14 years ago on Jul 31, 2012.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Urgent Care |
261QU0200X |
| NPI Number | 1922354687 |
| LBN Legal business name | 19TH AVENUE CLINIC |
| Authorized official | RENEE BISKUPSKI - (VP OF OPERATIONS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/31/2012 |
| Last updated | 07/31/2012 - About 14 years ago |
| Identifiers | n/a |
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19TH AVENUE CLINIC
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19TH AVENUE CLINIC