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Organization
WELLNESS 1ST INTEGRATIVE MEDICAL CENTER, LLC
Active
Organization
WELLNESS 1ST INTEGRATIVE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID ROOH DC (CLINIC DIRECTOR)
(480) 304-5152
Entity
Organization
Contact information
Practice address
2451 E BASELINE RD STE 100, GILBERT, AZ 85234
(480) 304-5152
(480) 603-4147
Mailing address
2451 E BASELINE RD STE 100, GILBERT, AZ 85234-2467
(480) 304-5152
(480) 603-4147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
261QH0100X
Health Service Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
Primary
RN06371
AZ
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
332BD1200X
Dialysis Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
11/22/2017
Last updated
04/20/2021
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