Provider First Line Business Practice Location Address:
HONOR HEALTH JOMAX CLINIC
Provider Second Line Business Practice Location Address:
26224 N. TATUM BLVD. #5
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-882-7580
Provider Business Practice Location Address Fax Number:
480-563-7442
Provider Enumeration Date:
03/21/2019