NPI 1205360559

Acute Services Providerllc

Organisation Exclusive Provider Organization Litchfield Park, AZ

Practice location

Address: 14044 W Camelback Rd 118, Litchfield Park, AZ 85340-9428
Phone: (623) 547-2600
Fax: (623) 547-1899

Authorised official

Name: David Jarret Kaplan
Title: Owner
Phone: (623) 547-2600

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1205360559
Entity type: Organization
NPI issued: 13 Apr 2017
Record last updated: 13 Apr 2017

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.