# MEDSHAPE WEIGHT LOSS CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDSHAPE WEIGHT LOSS CLINIC LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316178635
- **Legal business name:** MEDSHAPE WEIGHT LOSS CLINIC LLC
- **Authorized official:** MS. STEPANIE SMITH (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (480) 276-3742

## Contact information

- **Practice address:** 8114 E CACTUS RD, 230, SCOTTSDALE, AZ 85260-5260
- **Practice address phone:** (480) 922-1222
- **Practice address fax:** (480) 922-1239
- **Mailing address:** 8114 E CACTUS RD, 230, SCOTTSDALE, AZ 85260-5260
- **Mailing address phone:** (480) 922-1222
- **Mailing address fax:** (480) 922-1239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/04/2009
- **Last updated:** 08/04/2009