Provider First Line Business Practice Location Address:
20201 N SCOTTSDALE HEALTHCARE DR STE 250
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:
85255-4138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-821-6376
Provider Business Practice Location Address Fax Number:
480-538-9368
Provider Enumeration Date:
11/02/2006