NPI 1285485920

Enroute Provider Services LLC

Organisation General Practice Physician Glendale, AZ

Practice location

Address: 17505 N 79th Ave STE 313a, Glendale, AZ 85308-8730
Phone: (623) 225-5875

Authorised official

Name: Dunedin Hervias
Title: Founder
Phone: (623) 225-5875

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Arizona →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Arizona →

Registry record

NPI: 1285485920
Entity type: Organization
NPI issued: 1 Apr 2024
Record last updated: 20 Jun 2024

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.