ADVANCED HEALTH AND WELLNESS AZ

LAKESIDE, AZ
NPI1154827863
Entity TypeOrganization
Authorized ContactHUGH RYAN HALL
Medical Director
928-537-7111
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2018-04-02
Last Update Date2018-06-07
Business Address
ADVANCED HEALTH AND WELLNESS AZ
4830 HIGHWAY 260 STE 102
LAKESIDE, AZ 85929
Phone number: 928-537-7111
Mailing Address
ADVANCED HEALTH AND WELLNESS AZ
4830 HIGHWAY 260 STE 102
LAKESIDE, AZ 85929-5851
Phone number: 928-537-7111
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