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Organization
LIVE WELL FAMILY MEDICINE PLC
Active
Organization
LIVE WELL FAMILY MEDICINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA L PERALES MD (OWNER)
(480) 800-3561
Entity
Organization
Contact information
Practice address
655 S DOBSON RD, SUITE B-115, CHANDLER, AZ 85224-5667
(480) 800-3561
(480) 800-3562
Mailing address
655 S DOBSON RD, SUITE B-115, CHANDLER, AZ 85224-5667
(480) 800-3561
(480) 800-3562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43025
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508572
—
AZ
Enumeration date
07/30/2014
Last updated
07/30/2014
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