NPI 1841206257
Gila Crossing Clinic Phcy
Practice location
- Address
- 9975 E Beltline Rd, Laveen, AZ 85339
- Phone
- (602) 528-1422
- Fax
- (602) 528-3363
- Mailing address
- PO Box 380, Laveen, AZ 85339-0380
Authorised official
- Name
- Loren Ellory
- Title
- Ceo
- Phone
- (602) 528-1200
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1841206257
- Entity type
- Organization
- NPI issued
- 31 Jul 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.