O LONGEVITY & WELLNESS, PLLC

SCOTTSDALE, AZ
NPI1083111371
Entity TypeOrganization
Authorized ContactKEN SHADMAN OTA
Physician
480-365-8035
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  5305)
Enumeration Date2018-04-12
Last Update Date2019-08-30
Business Address
O LONGEVITY & WELLNESS, PLLC
9821 N 95TH ST STE 101
SCOTTSDALE, AZ 85258-4589
Phone number: 480-416-0403
Mailing Address
O LONGEVITY & WELLNESS, PLLC
9821 N 95TH ST STE 101
SCOTTSDALE, AZ 85258-4589
Phone number: 480-365-8035
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