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Organization
CAREFIRST WELLNESS ASSOCIATES OF AZ LLC
Active
Organization
CAREFIRST WELLNESS ASSOCIATES OF AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARESHKUMAR BOGHARA MD (OWNER)
(623) 227-1000
Entity
Organization
Contact information
Practice address
12361 W BOLA DR STE 109, SURPRISE, AZ 85378-9021
(623) 227-1000
Mailing address
12361 W BOLA DR STE 109, SURPRISE, AZ 85378-9021
(623) 227-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
04/18/2024
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