CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC

PHOENIX, AZ
NPI1326585662
Entity TypeOrganization
Authorized ContactROBERT HUTCHISON
CFO
615-425-0220
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date2017-01-25
Last Update Date2019-07-02
Business Address
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
8410 W THOMAS
PHOENIX, AZ 85037
Phone number: 413-584-2173
Mailing Address
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
15 CENTURY BLVD STE 307
NASHVILLE, TN 37214-3692
Phone number: 615-425-0220
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