Provider First Line Business Practice Location Address:
5555 W THUNDERBIRD ROAD.
Provider Second Line Business Practice Location Address:
THUNDERBIRD HOSPITAL
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-298-1932
Provider Business Practice Location Address Fax Number:
602-862-1131
Provider Enumeration Date:
04/26/2006