Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence General Medicine

Organization Medical Specialty Clinic/Center · NPI 1508180043

Providence General Medicine is a Medical Specialty Clinic/Center in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010

Practice location Address checks out

1701 W Glendale Ave
Phoenix, AZ 85021-9701
Phone: (602) 246-9090
Fax: (602) 246-9867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence AP3603 (AZ)

Record details

NPI number1508180043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blanca Marquez — Manager · (602) 254-7077
NPI enumeratedMarch 25, 2010
Last updated in NPPESMarch 25, 2010
Mailing address1701 W Glendale Ave, Phoenix, AZ 85021-9701

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