MYDOCKJ

SCOTTSDALE, AZ
NPI1407129646
Entity TypeOrganization
Authorized ContactKIM D JOHNSON
President
602-390-1509
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  19257)
Enumeration Date2012-02-20
Last Update Date2012-02-20
Business Address
MYDOCKJ
8520 E SHEA BLVD STE 105
SCOTTSDALE, AZ 85260-6677
Phone number: 602-390-1509
Mailing Address
MYDOCKJ
10105 E VIA LINDA STE 103-364
SCOTTSDALE, AZ 85258-5311
Phone number: 602-390-1509
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