Cigna Healthcare Of Arizona, INC.
Clinic/Center in Surprise, AZ. Organization (NPI-2).
NPI number1750535506
StatusActive
Last updated in NPPESJan 9, 2012
Details
- NPI
- 1750535506
- Entity type
- Organization (NPI-2)
- Legal business name
- Cigna Healthcare Of Arizona, INC.
- Organization subpart
- No
- Enumeration date
- Nov 6, 2008
- Last updated
- Jan 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | OTC4577 | AZ | Yes |
Other names
- Cmg Care Today-Surprise (Doing Business As)
Practice location
13794 W Waddell RdSuite 207
Surprise, AZ 85379-8499
Phone 623-214-8755 · Fax 623-214-8664
Mailing address
25500 N Norterra DrPhoenix, AZ 85085-8200
Phone 602-328-8400 · Fax 623-277-2335
Authorized official
James H. Burrell
Chief Medical Officer
6022715426
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