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Organization
FUNCTIONAL MEDICINE CENTER OF ARIZONA
Active
Organization
FUNCTIONAL MEDICINE CENTER OF ARIZONA
Active
Other names
Functional Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TIEDEMANN (OWNER/CLINICAL DIRECTOR)
(480) 747-0499
Entity
Organization
Contact information
Practice address
806 S 56TH AVE STE 1B, PHOENIX, AZ 85043-4630
(602) 429-0447
Mailing address
806 S 56TH AVE STE 1B, PHOENIX, AZ 85043-4630
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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