COUNTRY DOCTOR INC

PEORIA, AZ
NPI1821550310
Entity TypeOrganization
Authorized ContactPAUL LEE MANGANELLI
President
623-815-0827
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2019-04-03
Last Update Date2019-04-11
Business Address
COUNTRY DOCTOR INC
13260 N 94TH DR STE 102
PEORIA, AZ 85381-4242
Phone number: 623-815-0827
Mailing Address
COUNTRY DOCTOR INC
13260 N 94TH DR STE 102
PEORIA, AZ 85381-4242
Phone number: 623-815-0827
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