NPI 1730648809

Medico

Organisation General Practice Physician Glendale, AZ

Practice location

Address: 6120 W Bell Rd STE 100, Glendale, AZ 85308-3780
Phone: (833) 263-3426
Fax: (866) 264-4120

Authorised official

Name: Glenn Kunsman
Title: Ceo
Phone: (928) 377-2882

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Arizona →

Registry record

NPI: 1730648809
Entity type: Organization
NPI issued: 18 Mar 2019
Record last updated: 15 Nov 2021

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.