Provider First Line Business Practice Location Address:
1800 E FLORENCE BLVD
Provider Second Line Business Practice Location Address:
ATTN: HOSPITALIST TEAM
Provider Business Practice Location Address City Name:
CASA GRANDE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85122-5303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-543-2034
Provider Business Practice Location Address Fax Number:
480-543-2647
Provider Enumeration Date:
06/28/2013