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1891236998
PRESTIGE INTERVENTIONAL GROUP, LLC
PHOENIX, AZ
NPI
1891236998
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Entity Type
Organization
Authorized Contact
CHALLEN WAYCHOFF
COO/Manager
760-486-9634
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2017-03-09
Last Update Date
2017-03-09
Business Address
PRESTIGE INTERVENTIONAL GROUP, LLC
3724 N 3RD ST SUITE 302
PHOENIX, AZ 85012-2034
Phone number: 602-674-8185
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Mailing Address
PRESTIGE INTERVENTIONAL GROUP, LLC
3724 N 3RD ST SUITE 301
PHOENIX, AZ 85012-2034
Phone number: 760-486-9634
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