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Phxca, Inc

NPI Registration Record

Provider / OrganizationNPIDate Certified
PHXCA, INC15882813232020-06-27
Entity TypeOrganization
Provider OrganizationPHXCA, INC
Practice Office Address3806 N 3RD ST STE 300
PHOENIX, AZ US
Practice Office Telephone6232420541
Mailing Address2333 W MULBERRY DR
PHOENIX, AZ 850155649 US
Authorized OfficialMAYO MERCEDES WARDLE, PRESIDENT/ACUPU
6232420541
HPT Codes
CodeLicense NoState
171100000X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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