PHOENIX PHYSICAL MEDICINE LLC

PHOENIX, AZ
NPI1366781452
Entity TypeOrganization
Authorized ContactDAVID HANSEN
Owner
602-437-2225
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  3918)
Enumeration Date2013-02-08
Last Update Date2013-04-04
Business Address
PHOENIX PHYSICAL MEDICINE LLC
3220 E BASELINE RD STE 112
PHOENIX, AZ 85042-7110
Phone number: 602-437-2225
Mailing Address
PHOENIX PHYSICAL MEDICINE LLC
3220 E BASELINE RD STE 112
PHOENIX, AZ 85042-7110
Phone number: