# LA VEREDA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1508220443
- **Authorized official:** MR. COREY SKUBISZ NMD (NATUROPATHIC MEDICAL DOCTOR)
- **Authorized official phone:** (480) 454-8611

## Contact information

- **Practice address:** 2600 E SOUTHERN AVE, SUITE G, TEMPE, AZ 85282-7610
- **Practice address phone:** (480) 454-8611
- **Practice address fax:** (480) 219-8940
- **Mailing address:** 2600 E SOUTHERN AVE, SUITE G, TEMPE, AZ 85282-7610
- **Mailing address phone:** (480) 454-8611
- **Mailing address fax:** (480) 219-8940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 04/06/2016
- **Last updated:** 04/06/2016