| NPI | 1205281649 |
|---|---|
| Doing Business As | MEDI-WEIGHTLOSS |
| Entity Type | Organization |
| Authorized Contact | BRYAN BRYANT President 602-497-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-20 |