NPI 1245396811

Breast Care, P.C.

Organisation Preferred Provider Organization Phoenix, AZ

Practice location

Address: 16620 N 40th St STE. H - 3, Phoenix, AZ 85032-3348
Phone: (602) 971-5002
Fax: (602) 368-4638

Authorised official

Name: Christi Sue Bourne
Title: Owner
Phone: (602) 971-5002

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 19443 (AZ)

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Registry record

NPI: 1245396811
Entity type: Organization
NPI issued: 28 Dec 2006
Record last updated: 22 Aug 2020

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.