Organization · Type 2 NPI

Connecticut General Life Insurance Company (cglic)

Clinic/Center · Phoenix, AZ

NPI number 1639405087 Active

Practice location

11001 N Black Canyon Hwy
Phoenix, AZ 85029-4757

Fax (602) 328-8410

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

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About NPI 1639405087

Connecticut General Life Insurance Company (cglic)'s National Provider Identifier is 1639405087, issued on Oct 20, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 20, 2009.