NPI | 1508096975 |
---|---|
Doing Business As | CIGNA CMG CARE TODAY - LAVEEN VILLAGE, CMG CARE TODAY |
Entity Type | Organization |
Authorized Contact | JAMES H. BURRELL Chief Medical Officer 602-271-5426 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ OTC4709) |
Enumeration Date | 2009-07-20 |
Last Update Date | 2012-01-09 |