Whalio Doctors

NPI 1205078045

Cartwright School District

Organisation Preferred Provider Organization Phoenix, AZ

Practice location

Address
2252 N 55th Ave, Phoenix, AZ 85035-3706
Phone
(623) 691-4800

Authorised official

Name
Lezley O'Brien
Title
Lpn
Phone
(623) 691-4800

Registered specialties

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X Licence LP039215 (AZ)

Registry record

NPI
1205078045
Entity type
Organization
NPI issued
25 Mar 2009
Record last updated
25 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.