Organization · Type 2 NPI

Enroute Provider Services LLC

General Practice Physician · Glendale, AZ

NPI number 1285485920 Active

Practice location

17505 N 79th Ave Ste 313A
Glendale, AZ 85308-8730

Call (623) 225-5875 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed
Nurse Practitioner 363L00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1285485920

Enroute Provider Services LLC's National Provider Identifier is 1285485920, issued on Apr 1, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Glendale, AZ. The record was last updated on Jun 20, 2024.