Organization · Type 2 NPI
Arizona Wellness Medical, LLC
General Practice Physician · Glendale, AZ
NPI number
1972657062
Active
Practice location
5750 W Thunderbird Rd Ste E580
Glendale, AZ 85306-4671
Fax (623) 412-9356
Mailing address
PO Box 279
Peoria, AZ 85380-0279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 3991 (AZ) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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About NPI 1972657062
Arizona Wellness Medical, LLC's National Provider Identifier is 1972657062, issued on Jan 23, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Glendale, AZ. The record was last updated on Aug 22, 2020.