Provider First Line Business Practice Location Address:
350 W. THOMAS RD.
Provider Second Line Business Practice Location Address:
ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER, ATTN: CATH LA
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85013-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-406-5194
Provider Business Practice Location Address Fax Number:
602-798-0311
Provider Enumeration Date:
01/27/2009