Genesis Medical Practice Management

NPI 1053657361 - Psychologist - 103T00000X

NPI Details
NPI 1053657361
Enumeration Date 12/14/2012
Last Updated 12/14/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DARYL C. DARYL
Position CEO
Phone (602) 264-2770
Fax (866) 534-1701
Practice Location
4620 N 16TH ST
E-110
PHOENIX AZ, 85016-5121, US
Phone (602) 264-2770
Fax (866) 534-1701
Business Location
4620 N 16TH ST
E-110
PHOENIX AZ, 85016-5121, US
Phone (602) 264-2770
Fax (866) 534-1701
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Genesis Medical Practice Management NPI is 1053657361, taxonomy code is 103T00000X Genesis Medical Practice Management physically located at 4620 N 16th St, Phoenix AZ, 85016-5121. NPI Number 1033115704 has the healthcare provider type.

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1053657361 NPI number is provided on an as is basis without warranty of any kind. 1053657361 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Medical Practice Management are for informational purposes only.