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Organization
PHOENIX WELLNESS GROUP
Active
Organization
PHOENIX WELLNESS GROUP
Active
Other names
Phoenix Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA MOSS KELLER LCSW (BUSINESS DIRECTOR)
(650) 888-2290
Entity
Organization
Contact information
Practice address
3417 VALLE VERDE DR, NAPA, CA 94558-2414
(707) 255-4172
Mailing address
3417 VALLE VERDE DR, NAPA, CA 94558-2414
(707) 255-4176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G058061
CA
Other
Enumeration date
08/16/2006
Last updated
03/23/2009
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