Provider First Line Business Practice Location Address:
20201 N SCOTTSDALE HEALTHCARE DR STE 260
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:
85255-4140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-398-1550
Provider Business Practice Location Address Fax Number:
480-398-1551
Provider Enumeration Date:
02/03/2016