NPI 1730512708

Pinal County Arizona

Organisation Public Health or Welfare Agency San Tan Valley, AZ

Practice location

Address: 36235 N Gantzel Rd, San Tan Valley, AZ 85140-7304
Phone: (520) 866-7319
Fax: (520) 866-7066
Mailing address: PO Box 2945, Florence, AZ 85132-3055

Authorised official

Name: Susie C Escalante
Title: Account Clerk-Billing
Phone: (520) 866-7319

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence OTC5348 (AZ)

Other Public Health or Welfare providers in Arizona →

Registry record

NPI: 1730512708
Entity type: Organization
NPI issued: 14 Aug 2013
Record last updated: 14 Aug 2013

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.