| Imperial Synergy Llc | |
|
2601 W Dunlap Ave # 206 Phoenix AZ 85021-2711 | |
| (323) 772-8626 | |
| Not Available |
| Full Name | Imperial Synergy Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2601 W Dunlap Ave # 206, Phoenix, Arizona |
| Authorized Official Name and Position | Derric Thompson (OWNER) |
| Authorized Official Contact | 3237728626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Synergy Llc 2601 W Dunlap Ave # 206 Phoenix AZ 85021-2711 Ph: (323) 772-8626 | Imperial Synergy Llc 2601 W Dunlap Ave # 206 Phoenix AZ 85021-2711 Ph: (323) 772-8626 |
| NPI Number | 1306557319 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 12/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306557319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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