| Izogn Group Llc | |
|
11974 N 158th Ln Surprise AZ 85379-1067 | |
| (302) 437-5573 | |
| Not Available |
| Full Name | Izogn Group Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11974 N 158th Ln, Surprise, Arizona |
| Authorized Official Name and Position | Ngozi Chinwe Anekpo (DIRECTOR) |
| Authorized Official Contact | 3024375573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Izogn Group Llc 11974 N 158th Ln Surprise AZ 85379-1067 Ph: (302) 437-5573 | Izogn Group Llc 11974 N 158th Ln Surprise AZ 85379-1067 Ph: (302) 437-5573 |
| NPI Number | 1598180820 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 02/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598180820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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