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Organization
LIFESCAPE MEDICAL ASSOCIATES, PC
Active
Organization
LIFESCAPE MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S WILDER M.D (OWNER)
(480) 860-5500
Entity
Organization
Contact information
Practice address
8757 E BELL RD, SCOTTSDALE, AZ 85260-1322
(480) 860-5500
(480) 860-5511
Mailing address
8757 E BELL RD, SCOTTSDALE, AZ 85260-1322
(480) 860-5500
(480) 860-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H56099
STROHMAN
AZ
Enumeration date
08/25/2006
Last updated
12/04/2009
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