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Contact Information

AFC PHYSICAL MEDICINE OF DESERT RIDGE, PLLC
20860 N TATUM BLVD
SUITE 290
PHOENIX, AZ85050-4274
 Phone: 480-563-1144
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for AFC PHYSICAL MEDICINE OF DESERT RIDGE, PLLC

NPI Number 1962744722
LBN Legal business name AFC PHYSICAL MEDICINE OF DESERT RIDGE, PLLC
Authorized official EUGENIA URSAN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/20/2013
Last updated 04/04/2014 - About 12 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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