Organization · NPI-2

Abcore Medical Group

Nurse Practitioner, Primary Care · Phoenix, AZ

NPI number1386032753
StatusActive
Last updated in NPPESJan 7, 2015

Details

NPI
1386032753
Entity type
Organization (NPI-2)
Legal business name
Abcore Medical Group
Organization subpart
No
Enumeration date
Jan 7, 2015
Last updated
Jan 7, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care––Yes

Practice location

2023 W Bethany Home Rd
Phoenix, AZ 85015-2444

Phone 623-210-1584 · Fax 602-358-7649

Mailing address

2023 W Bethany Home Rd
Phoenix, AZ 85015-2444

Phone 623-210-1584 · Fax 602-358-7649

Authorized official

Juan Jose Lopez
Manager
6232101584

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Primary Care providers in Phoenix, AZ