Provider First Line Business Practice Location Address:
15223 N. 87TH ST #110
Provider Second Line Business Practice Location Address:
STATCLINIX
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-682-4100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/13/2006