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Organization
CATALINA SEAWARD TRUST
Active
Organization
CATALINA SEAWARD TRUST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L WAGONER D.C (TRUSTEE)
(480) 343-0585
Entity
Organization
Contact information
Practice address
17014 W BELL RD STE 103, SURPRISE, AZ 85374-2479
(480) 343-0585
(480) 687-6648
Mailing address
16356 N THOMPSON PEAK PKWY APT 1089, SCOTTSDALE, AZ 85260-2103
(480) 343-0585
(480) 687-6648
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/09/2020
Last updated
09/20/2024
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