State of Arizona Department of Corrections

Organization Prison Health Clinic/Center · NPI 1255566477

State of Arizona Department of Corrections is a Prison Health Clinic/Center in Florence, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in: AZ
In the registry since: 2009

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

1305 E Butte Ave
Florence, AZ 85232
Phone: (520) 868-4011
Fax: (602) 258-7886

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Specialties & licences

Prison Health Clinic/Center (primary)	Taxonomy 261QP2400X · Licence 3816 (AZ)

Record details

NPI number	1255566477
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Lindsey Chitwood — Physician Assistant · (520) 868-4011
NPI enumerated	May 18, 2009
Last updated in NPPES	May 18, 2009
Mailing address	3846 E Palmer St, Gilbert, AZ 85298-8855