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Organization
XTRIM MED SPA
Active
Organization
XTRIM MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENO EDGINGTON (OWNER)
(480) 634-7601
Entity
Organization
Contact information
Practice address
2915 E BASELINE RD, SUITE 107, GILBERT, AZ 85234-2425
(480) 507-8181
Mailing address
1757 E BASELINE RD, SUITE 137, GILBERT, AZ 85233-1532
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33677
AZ
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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