| Glendale Redbird Co | |
|
6637 N 58th Dr Apt 7 Glendale AZ 85301-3900 | |
| (623) 624-5179 | |
| Not Available |
| Full Name | Glendale Redbird Co |
|---|---|
| Speciality | Peer Specialist |
| Location | 6637 N 58th Dr Apt 7, Glendale, Arizona |
| Authorized Official Name and Position | Mydung Thi Phan (CFO) |
| Authorized Official Contact | 6236245179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Redbird Co 6637 N 58th Dr Apt 3 Glendale AZ 85301-3900 Ph: (623) 624-5179 | Glendale Redbird Co 6637 N 58th Dr Apt 7 Glendale AZ 85301-3900 Ph: (623) 624-5179 |
| NPI Number | 1598590291 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598590291 | NPI | - | NPPES |
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