ARIZONA STATE UNIVERSITY

GLENDALE, AZ
NPI1255511465
Doing Business AsARIZONA STATE UNIVERSITY HEALTH SERVICES
Entity TypeOrganization
Authorized ContactALLAN MARKUS
Physician/Director
480-965-1145
Organization Subpart ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Additional Taxonomies207Q00000X Family Medicine
363LF0000X Nurse Practitioner, Family
207Q00000X Family Medicine
Enumeration Date2007-11-06
Last Update Date2014-11-03
Business Address
ARIZONA STATE UNIVERSITY
4701 WEST THUNDERBIRD ROAD UNIVERSITY CENTER BUILDING, ROOM 190
GLENDALE, AZ 85306
Phone number: 602-543-8019
Mailing Address
ARIZONA STATE UNIVERSITY
PO BOX 872104
TEMPE, AZ 85287-2104
Phone number: 480-965-3346