MODERN ELIXIR

TUCSON, AZ
NPI1710307590
Entity TypeOrganization
Authorized ContactJUSTIN K TAYLOR
Physician
520-308-5280
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: AZ  MT-18699)
Enumeration Date2014-04-21
Last Update Date2014-04-21
Business Address
MODERN ELIXIR
6818 N ORACLE RD SUITE 414
TUCSON, AZ 85704-4249
Phone number: 520-308-5280
Mailing Address
MODERN ELIXIR
6818 N ORACLE RD SUITE 414
TUCSON, AZ 85704-4249
Phone number: 520-308-5280
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