Providence Health Group LLC
Providence Health Group LLC is an Internal Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
300 W Osborn Rd Ste 110Phoenix, AZ 85013-3922
Phone: (602) 265-1210
Fax: (602) 265-1222
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|---|
| Pain Medicine Physician | Taxonomy 208VP0000X |
Record details
| NPI number | 1841487709 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Olade — Owner/Physician · (404) 441-8752 |
| Other names | Genesis Wellness & Pain Management Center |
| NPI enumerated | September 25, 2007 |
| Last updated in NPPES | June 21, 2011 |
| Mailing address | 300 W Osborn Rd Ste 110, Phoenix, AZ 85013-3922 |
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Dr. John Edward Prieve, DO
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