| Mind Az, Pc | |
|
4435 E Chandler Blvd Ste 200 Phoenix AZ 85048-7651 | |
| (480) 818-4458 | |
| Not Available |
| Full Name | Mind Az, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4435 E Chandler Blvd Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | David W Dixon (OWNER) |
| Authorized Official Contact | 4808184458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Az, Pc 4435 E Chandler Blvd Ste 200 Phoenix AZ 85048-7651 Ph: (480) 818-4458 | Mind Az, Pc 4435 E Chandler Blvd Ste 200 Phoenix AZ 85048-7651 Ph: (480) 818-4458 |
| NPI Number | 1013736404 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013736404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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