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1386279255
IRC DC AZ, LLC
SURPRISE, AZ
NPI
1386279255
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Entity Type
Organization
Authorized Contact
ARVIND DURVASAN
Owner
623-240-1110
Organization Subpart ?
No
Primary Taxonomy
207RN0300X Internal Medicine Nephrology
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
IRC DC AZ, LLC
14780 W MOUNTAIN VIEW BLVD STE 109
SURPRISE, AZ 85374-7280
Phone number: 623-240-1110
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Mailing Address
IRC DC AZ, LLC
14780 W MOUNTAIN VIEW BLVD STE 109
SURPRISE, AZ 85374-7280
Phone number: 623-240-1110
Copy
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