Bodylogicmd Of Phoenix-glendale | |
4322 S Gardenia Dr Chandler AZ 85248-0089 | |
(312) 608-4086 | |
Not Available |
Full Name | Bodylogicmd Of Phoenix-glendale |
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Speciality | Clinic/center |
Location | 4322 S Gardenia Dr, Chandler, Arizona |
Authorized Official Name and Position | Joseph Mazzei (OWNER) |
Authorized Official Contact | 3126084086 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bodylogicmd Of Phoenix-glendale 4322 S Gardenia Dr Chandler AZ 85248-0089 Ph: (312) 608-4086 | Bodylogicmd Of Phoenix-glendale 4322 S Gardenia Dr Chandler AZ 85248-0089 Ph: (312) 608-4086 |
NPI Number | 1487131603 |
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Provider Enumeration Date | 07/20/2018 |
Last Update Date | 10/05/2021 |
Identifier | Type | State | Issuer |
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1487131603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 007596 (Arizona) | Primary |
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