Provider First Line Business Practice Location Address:
SRPMIC HHS 10901 E MCDOWELL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85256
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-946-9227
Provider Business Practice Location Address Fax Number:
480-278-7186
Provider Enumeration Date:
07/12/2007