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Organization
MD BUSINESS SOLUTIONS CORP
Active
Organization
MD BUSINESS SOLUTIONS CORP
Active
Other names
Tempe Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. ARNOLDO PROCELA LOPEZ III MS, JD (CHIEF EXECUTIVE OFFICER)
(520) 400-8660
Entity
Organization
Contact information
Practice address
441 S 48TH ST, 109, ARNOLDO LOPEZ, TEMPE, AZ 85281-2303
(480) 945-2558
(480) 945-2354
Mailing address
441 S 48TH ST, 109, ARNOLDO LOPEZ, TEMPE, AZ 85281-2303
(480) 945-2558
(480) 945-2354
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
12985
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196768
—
AZ
01
—
P0731420
BLUE CROSS
AZ
Enumeration date
07/26/2014
Last updated
07/26/2014
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