| NPI | 1639312960 |
|---|---|
| Doing Business As | BODY WISE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | PAUL ALAN MIKEL Physician Owner 480-289-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: AZ 21229) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |