Desert Ridge Urgent Care Centers
General Practice in Chandler, AZ. Organization (NPI-2).
NPI number1972806834
StatusActive
Last updated in NPPESDec 15, 2010
Details
- NPI
- 1972806834
- Entity type
- Organization (NPI-2)
- Legal business name
- Desert Ridge Urgent Care Centers
- Organization subpart
- Yes
- Enumeration date
- Dec 15, 2010
- Last updated
- Dec 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 3344 | AZ | Yes |
Other names
- Kyrene Urgent Care (Doing Business As)
Practice location
40 S Kyrene RdSuite 3
Chandler, AZ 85226-4675
Phone 480-706-0174 · Fax 480-706-0117
Mailing address
16515 S 40th StSuite 139
Phoenix, AZ 85048-0558
Phone 480-706-0174 · Fax 480-706-0117
Authorized official
Kenneth L Pettit
Owner / Physician
4807060174
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