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1659687812
MATRIX MEDICAL NETWORK OF IDAHO, L.L.C
PHOENIX, AZ
NPI
1659687812
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Entity Type
Organization
Authorized Contact
THOMAS R YOUNG
Practice Owner
602-464-5200
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2010-08-26
Last Update Date
2010-08-26
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
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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
Copy
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