| North Phoenix Otc Llc | |
|
3329 E Bell Rd Ste A1-a5 Phoenix AZ 85032 | |
| (602) 482-2282 | |
| (602) 482-2909 |
| Full Name | North Phoenix Otc Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3329 E Bell Rd Ste A1-a5, Phoenix, Arizona |
| Authorized Official Name and Position | Erin L Waychoff (SOLE MBR) |
| Authorized Official Contact | 6024822282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Phoenix Otc Llc 3329 E Bell Rd Ste A1-a5 Phoenix AZ 85032 Ph: (602) 482-2282 | North Phoenix Otc Llc 3329 E Bell Rd Ste A1-a5 Phoenix AZ 85032 Ph: (602) 482-2282 |
| NPI Number | 1235680596 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 10/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235680596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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