| NPI | 1750778387 |
|---|---|
| Doing Business As | OLD TOWN SCOTTSDALE WEIGHT LOSS & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER AUSTIN SLACK Nurse Practitioner/Owner 480-360-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ APN3104) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |