Connecticut General Life Insurance Company

Organization Active NPI Clinic/Center · Phoenix, AZ

NPI 1669922324 · NPPES record last updated Dec 6, 2016

Key facts

NPI
1669922324
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
Practice address
25500 N Norterra Dr
Phoenix, AZ 85085-8200
Phone
(877) 733-1710
Fax
(623) 277-1091
NPI assigned
Oct 6, 2016
Organization subpart
No

Authorized official

Name
Dirk Wales, MD
Title
Ceo
Phone
(623) 277-1170

Corporate family (same tax ID) 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

National Provider Directory

Tax ID family
Cigna Onsite Health LLC (38 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

25500 N Norterra Dr
Phoenix, AZ 85085-8200

Mailing address

25500 N Norterra Dr
Phoenix, AZ 85085-8200
Phone (877) 733-1710

Other names

  • Alegis Care New Jersey PC Other name

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Clinic/Center in Arizona

Sources for this page

Verify at the official NPI Registry.