Organization · Type 2 NPI
State of Arizona Department of Corrections
Prison Health Clinic/Center · Florence, AZ
NPI number
1255566477
Active
Practice location
1305 E Butte Ave
Florence, AZ 85232
Fax (602) 258-7886
Mailing address
3846 E Palmer St
Gilbert, AZ 85298-8855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prison Health Clinic/Center Primary | 261QP2400X | 3816 (AZ) |
Prison Health Clinic/Center: Definition to come...
About NPI 1255566477
State of Arizona Department of Corrections's National Provider Identifier is 1255566477, issued on May 18, 2009. The primary taxonomy on file is Prison Health Clinic/Center (261QP2400X), and the practice location is in Florence, AZ. The record was last updated on May 18, 2009.