Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Revolution Medical Center, Inc

Organization Primary Care Clinic/Center · NPI 1710169180

Revolution Medical Center, Inc provides Primary Care Clinic/Center services in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2015 E Camelback Rd
Phoenix, AZ 85016-4710 Not confirmed with CMS for 18 years — call before visiting
Phone: (602) 840-4400
Fax: (602) 840-0490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 04836 (AZ)

Record details

NPI number1710169180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Haggard — Clinic Director · (602) 463-7177
NPI enumeratedNovember 28, 2007
Last updated in NPPESNovember 28, 2007
Mailing address2015 E Camelback Rd, Phoenix, AZ 85016-4710

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