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1841731932
METRO OTC, LLC
PHOENIX, AZ
NPI
1841731932
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Entity Type
Organization
Authorized Contact
CHALLEN WAYCHOFF
COO/Manager
760-486-9634
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2017-03-09
Last Update Date
2018-08-09
Business Address
METRO OTC, LLC
10046 N METRO PKWY W SUITE 115
PHOENIX, AZ 85051
Phone number: 602-674-5515
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Mailing Address
METRO OTC, LLC
10046 N METRO PKWY W SUITE 115
PHOENIX, AZ 85051-1437
Phone number: 602-674-5515
Copy
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