Pro Tech Iom Llc | |
3329 E Bell Rd Ste A2-a5 Phoenix AZ 85032-2756 | |
(602) 482-2282 | |
Not Available |
Full Name | Pro Tech Iom Llc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 3329 E Bell Rd Ste A2-a5, Phoenix, Arizona |
Authorized Official Name and Position | Pierce W Waychoff (SOLE MBR) |
Authorized Official Contact | 6024822282 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pro Tech Iom Llc 2801 Centerville Rd First Floor Pmb #710 Wilmington DE 19808-1609 Ph: () - | Pro Tech Iom Llc 3329 E Bell Rd Ste A2-a5 Phoenix AZ 85032-2756 Ph: (602) 482-2282 |
NPI Number | 1558987727 |
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Provider Enumeration Date | 06/23/2020 |
Last Update Date | 07/22/2020 |
Certification Date | 07/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558987727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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