Organization · Type 2 NPI
Federal Correctional Institution
Federal Public Health Clinic/Center · Phoenix, AZ
NPI number
1205193893
Active
Practice location
37900 N 45th Ave Dept 1680
Phoenix, AZ 85086-7008
Fax (623) 465-5116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federal Public Health Clinic/Center Primary | 261QP0904X | None listed |
Federal Public Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1205193893
Federal Correctional Institution's National Provider Identifier is 1205193893, issued on Apr 19, 2012. The primary taxonomy on file is Federal Public Health Clinic/Center (261QP0904X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 19, 2012.