| Isp 4th Avenue | |
|
3620 N 4th Ave Phoenix AZ 85013-3907 | |
| (602) 285-1800 | |
| (602) 285-1838 |
| Full Name | Isp 4th Avenue |
|---|---|
| Speciality | Clinic/center |
| Location | 3620 N 4th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Annette Iniguez (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 6022850505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isp 4th Avenue 1201 E Thomas Rd Phoenix AZ 85014-5734 Ph: (602) 285-1800 | Isp 4th Avenue 3620 N 4th Ave Phoenix AZ 85013-3907 Ph: (602) 285-1800 |
| NPI Number | 1134257769 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134257769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Arizona) | Primary |
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