| Medi-weightloss | |
|
5310 W Thunderbird Rd Ste 308 Glendale AZ 85306-4706 | |
| (623) 825-7931 | |
| (623) 240-2673 |
| Full Name | Medi-weightloss |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 5310 W Thunderbird Rd, Glendale, Arizona |
| Authorized Official Name and Position | Edward Kaloust (MANAGER MEMBER) |
| Authorized Official Contact | 8132286334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi-weightloss 509 S Hyde Park Ave Tampa FL 33606-2266 Ph: (813) 228-6334 | Medi-weightloss 5310 W Thunderbird Rd Ste 308 Glendale AZ 85306-4706 Ph: (623) 825-7931 |
| NPI Number | 1376925602 |
|---|---|
| Provider Enumeration Date | 06/23/2015 |
| Last Update Date | 06/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376925602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | 500010862 (Arizona) | Primary |
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