Conquer, PLLC
Clinic/Center, Primary Care in Scottsdale, AZ. Organization (NPI-2).
NPI number1982140885
StatusActive
Last updated in NPPESMay 24, 2018
Details
- NPI
- 1982140885
- Entity type
- Organization (NPI-2)
- Legal business name
- Conquer, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2017
- Last updated
- May 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | AP5312 | AZ | Yes |
| 363LF0000X | Nurse Practitioner, Family | AP5312 | AZ |
Other names
- Conquer Healthcare Family Clinic (Doing Business As)
Practice location
9375 E Shea Blvd Ste 266Scottsdale, AZ 85260
Phone 480-652-2931
Mailing address
10820 N 127th PlScottsdale, AZ 85259-4330
Phone 480-652-2931
Other practice locations
9375 E Shea Blvd
Scottsdale, AZ 85260-6991
Scottsdale, AZ 85260-6991
Phone 480-652-2931 · Fax 480-214-9719
Authorized official
Lokeswari Bucchireddigari
Owner/Provider
4806522931
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