Organization · Type 2 NPI

The Source Naturopathic Medical Clinic

Health Service Clinic/Center · Phoenix, AZ

NPI number 1174905038 Active

Practice location

550 W Indian School Rd Ste 122
Phoenix, AZ 85013-3200

Call (602) 234-1158 Map

Fax (602) 234-9691

Mailing address

550 W. Indian School Rd Suite 122
Phoenix, AZ 85013

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XAZ15-1492 (AZ)

Health Service Clinic/Center: Definition to come...

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About NPI 1174905038

The Source Naturopathic Medical Clinic's National Provider Identifier is 1174905038, issued on Jun 26, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 26, 2015.