| NPI | 1073807202 |
|---|---|
| Doing Business As | AVISTA MEDICAL CENTER & WEIGHT LOSS |
| Entity Type | Organization |
| Authorized Contact | CHAD GAMMAGE CEO 480-892-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 28418) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2022-02-08 |