MATRIX MEDICAL NETWORK OF IDAHO, L.L.C

PHOENIX, AZ
NPI1659687812
Entity TypeOrganization
Authorized ContactTHOMAS R YOUNG
Practice Owner
602-464-5200
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2010-08-26
Last Update Date2010-08-26
Business Address
MATRIX MEDICAL NETWORK OF IDAHO, L.L.C
4545 E SHEA BLVD SUITE 175
PHOENIX, AZ 85028-3074
Phone number: 602-464-5200
Mailing Address
MATRIX MEDICAL NETWORK OF IDAHO, L.L.C
4545 E SHEA BLVD SUITE 175
PHOENIX, AZ 85028-3074
Phone number: 602-464-5200
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