| 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 (Licence: AZ 27969) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-09-16 |