| Old Town Scottsdale Weight Loss & Wellness | |
|
4032 N Miller Rd Ste 108 Scottsdale AZ 85251-4572 | |
| (520) 248-9772 | |
| Not Available |
| Full Name | Old Town Scottsdale Weight Loss & Wellness |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4032 N Miller Rd Ste 108, Scottsdale, Arizona |
| Authorized Official Name and Position | Jennifer Austin Slack (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 4803602299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town Scottsdale Weight Loss & Wellness 4032 N Miller Rd Ste 108 Scottsdale AZ 85251-4572 Ph: (520) 248-9772 | Old Town Scottsdale Weight Loss & Wellness 4032 N Miller Rd Ste 108 Scottsdale AZ 85251-4572 Ph: (520) 248-9772 |
| NPI Number | 1750778387 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 04/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750778387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | APN3104 (Arizona) | Primary |
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