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2123 E. Southern Avenue Obot Room #100 Tempe AZ 85282-7531 | |
| (480) 897-7044 | |
| (480) 897-7943 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 2123 E. Southern Avenue, Tempe, Arizona |
| Authorized Official Name and Position | Zack Ragsdale (DIRECTOR) |
| Authorized Official Contact | 5124545911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | 2123 E. Southern Avenue Obot Room #100 Tempe AZ 85282-7531 Ph: (480) 897-7044 |
| NPI Number | 1114632288 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114632288 | NPI | - | NPPES |
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