Evernorth Care Providers - Arizona Pc | |
500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 | |
(773) 292-4800 | |
(312) 564-4059 |
Full Name | Evernorth Care Providers - Arizona Pc |
---|---|
Speciality | General Practice |
Location | 500 Marquette Ave Nw Ste 1200, Albuquerque, New Mexico |
Authorized Official Name and Position | Grace Blue (CREDENTIALING SR. MANAGER) |
Authorized Official Contact | 7732924800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evernorth Care Providers - Arizona Pc 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - Arizona Pc 500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 Ph: (773) 292-4800 |
NPI Number | 1417712233 |
---|---|
Provider Enumeration Date | 02/20/2024 |
Last Update Date | 02/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417712233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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