# ARIZONA HEALTHY CLINIC LLC

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

## Provider details

- **NPI number:** 1164867099
- **Authorized official:** DIANA SUAREZ (OWNER)
- **Authorized official phone:** (623) 594-2432

## Contact information

- **Practice address:** 4344 W INDIAN SCHOOL RD, SUITE 8, PHOENIX, AZ 85031-2939
- **Practice address phone:** (623) 954-2432
- **Practice address fax:** (623) 594-2438
- **Mailing address:** 4344 WEST INDIAN SCHOOL ROAD, SUITE 8, PHOENIX, AZ 85031-2939
- **Mailing address phone:** (623) 954-2432
- **Mailing address fax:** (623) 594-2438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2013
- **Last updated:** 02/18/2022
