NPI | 1427342534 |
---|---|
Doing Business As | MINDBODY MEDICINE CENTER |
Entity Type | Organization |
Authorized Contact | RONALD LEWIS PETERS Owner, Medical Director 480-607-7999 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 27969) |
Enumeration Date | 2011-06-06 |
Last Update Date | 2011-09-16 |