PHOENIX WEST INTERNAL MEDICINE LLC

PHOENIX, AZ
NPI1609805530
Entity TypeOrganization
Authorized ContactFERNANDO RAUL DE CASTRO
Owner
623-322-1145
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AZ  30062)
Enumeration Date2006-07-02
Last Update Date2011-03-08
Business Address
PHOENIX WEST INTERNAL MEDICINE LLC
4150 N 108TH AVE STE 142
PHOENIX, AZ 85037-5467
Phone number: 623-322-1145
Mailing Address
PHOENIX WEST INTERNAL MEDICINE LLC
9524 W CAMELBACK RD STE 130 PMB186
GLENDALE, AZ 85305-3104
Phone number: 623-322-1145