# EDLC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endocrinology, Diabetes and Longevity Center of Arizona, PLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154804243
- **Authorized official:** MS. REGINA FORD (PRACTICE MANAGER)
- **Authorized official phone:** (480) 513-1042

## Contact information

- **Practice address:** 7344 E DEER VALLEY RD STE 100, SCOTTSDALE, AZ 85255-7456
- **Practice address phone:** (480) 513-1042
- **Practice address fax:** (480) 513-1043
- **Mailing address:** PO BOX 27973, SCOTTSDALE, AZ 85255-0149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2018
- **Last updated:** 09/10/2021