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1124627815
FEP NCCH
PHOENIX, AZ
NPI
1124627815
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Entity Type
Organization
Authorized Contact
MARTIN FEDKNO
President
847-571-2467
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2020-10-22
Last Update Date
2020-10-22
Business Address
FEP NCCH
8825 N 23RD AVE STE 100
PHOENIX, AZ 85021-4148
Phone number: 847-571-2467
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Mailing Address
FEP NCCH
8825 N 23RD AVE STE 100
PHOENIX, AZ 85021-4148
Phone number: 847-571-2467
Copy
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