TRIAD CLINIC PLLC

GLENDALE, AZ
NPI1174857791
Entity TypeOrganization
Authorized ContactDANIEL KNIGHT
President
602-667-4636
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AZ  AP2115)
Additional Taxonomies208D00000X General Practice
(Licence: AZ  3175)
Enumeration Date2009-09-29
Last Update Date2010-11-04
Business Address
TRIAD CLINIC PLLC
4902 W IRONWOOD DR
GLENDALE, AZ 85302-2402
Phone number: 602-667-4636
Mailing Address
TRIAD CLINIC PLLC
5350 W BELL RD SUITE C-122-417
GLENDALE, AZ 85308-3906
Phone number: 602-667-4636