# CEB CAPITAL LLC

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

## Provider details

- **NPI number:** 1750754982
- **Authorized official:** IVY DORENE JONES (OFFICE MANAGER)
- **Authorized official phone:** (623) 247-2300

## Contact information

- **Practice address:** 9150 W INDIAN SCHOOL RD, SUITE 111B, PHOENIX, AZ 85037-2384
- **Practice address phone:** (623) 247-2300
- **Practice address fax:** (623) 247-1939
- **Mailing address:** 9150 W INDIAN SCHOOL RD, SUITE 111B, PHOENIX, AZ 85037-2384
- **Mailing address phone:** (623) 247-2300
- **Mailing address fax:** (623) 247-1939

## Taxonomy

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

## Other

- **Enumeration date:** 11/10/2015
- **Last updated:** 03/23/2016
