Provider First Line Business Practice Location Address:
19646 N 27TH AVE
Provider Second Line Business Practice Location Address:
SUITE 301 DR. SUBBIAH-GASTROENTEROLOGY (CARE FOR WOMEN)
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85027-4017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-780-5528
Provider Business Practice Location Address Fax Number:
623-780-5529
Provider Enumeration Date:
07/27/2007