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1366781452
PHOENIX PHYSICAL MEDICINE LLC
PHOENIX, AZ
NPI
1366781452
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Entity Type
Organization
Authorized Contact
DAVID HANSEN
Owner
602-437-2225
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 3918)
Enumeration Date
2013-02-08
Last Update Date
2013-04-04
Business Address
PHOENIX PHYSICAL MEDICINE LLC
3220 E BASELINE RD STE 112
PHOENIX, AZ 85042-7110
Phone number: 602-437-2225
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Mailing Address
PHOENIX PHYSICAL MEDICINE LLC
3220 E BASELINE RD STE 112
PHOENIX, AZ 85042-7110
Phone number:
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