CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC

PHOENIX, AZ
NPI1598390353
Entity TypeOrganization
Authorized ContactJESSICA AMICK
AO
727-798-8160
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2020-03-11
Last Update Date2020-03-11
Business Address
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
7725 N 43RD AVE STE 522
PHOENIX, AZ 85051-5771
Phone number: 480-729-8341
Mailing Address
CLEANSLATE MEDICAL GROUP OF ARIZONA PLLC
15 CENTURY BLVD STE 307
NASHVILLE, TN 37214-3692
Phone number: 615-425-0220
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