Provider Demographics
NPI:1184982597
Name:GLOBAL PRIMARY CARE
Entity type:Organization
Organization Name:GLOBAL PRIMARY CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DIGGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-308-7822
Mailing Address - Street 1:6245 N 16TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-1706
Mailing Address - Country:US
Mailing Address - Phone:602-792-5769
Mailing Address - Fax:602-253-4273
Practice Address - Street 1:9100 N 2ND ST
Practice Address - Street 2:SUITE 213
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2446
Practice Address - Country:US
Practice Address - Phone:602-792-5769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty