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NP Professional LLC

Clinic/Center, Multi-Specialty in Phoenix, AZ. Organization (NPI-2).

NPI number1770074635
StatusActive
Last updated in NPPESAug 29, 2018

Details

NPI
1770074635
Entity type
Organization (NPI-2)
Legal business name
NP Professional LLC
Organization subpart
No
Enumeration date
May 25, 2018
Last updated
Aug 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes

Practice location

3329 E Bell Rd Ste A1
Phoenix, AZ 85032

Phone 602-482-2282 · Fax 602-482-2909

Mailing address

3329 E Bell Rd Ste A1
Phoenix, AZ 85032-2756

Phone 602-482-2282 · Fax 602-482-2909

Authorized official

Erin Waychoff
Sole Mbr
6024822282

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