Provider First Line Business Practice Location Address:
1800 E. FLORENCE BLVD.
Provider Second Line Business Practice Location Address:
ATTN: AMANDA GUMP/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
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:
04/27/2016