# JWT MEDICAL PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043552458
- **Authorized official:** JOHN W TORSETH M.D. (PRESIDENT)
- **Authorized official phone:** (763) 443-0236

## Contact information

- **Practice address:** 39733 N LOST LEGEND DR, ANTHEM, AZ 85086-3643
- **Practice address phone:** (763) 443-0236
- **Practice address fax:** (623) 207-4872
- **Mailing address:** 39733 N LOST LEGEND DR, ANTHEM, AZ 85086-3643
- **Mailing address phone:** (763) 443-0236
- **Mailing address fax:** (623) 207-4872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 42825 | AZ | Yes |

## Other

- **Enumeration date:** 03/24/2013
- **Last updated:** 03/24/2013
