CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC

PHOENIX, AZ
NPI1245865096
Doing Business AsCLEANSLATE CENTERS- WEST THOMAS PHOENIX, AZ
Entity TypeOrganization
Authorized ContactMATTHEW PHILIP SMOLAREK
CFO
412-999-5188
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Additional Taxonomies207R00000X Internal Medicine
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2020-03-11
Last Update Date2024-07-03
Business Address
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
8410 W THOMAS RD STE 124
PHOENIX, AZ 85037-3373
Phone number: 480-417-5289
Mailing Address
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
8 CADILLAC DR STE 180
BRENTWOOD, TN 37027-5393
Phone number: 615-425-0220