# ASHLEY CLYDE LLC

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

## Provider details

- **NPI number:** 1801490461
- **Authorized official:** JODI L LINDSTROM ATP (OWNER)
- **Authorized official phone:** (623) 826-1207

## Contact information

- **Practice address:** 2432 W PEORIA AVE STE 1200, PHOENIX, AZ 85029-4736
- **Practice address phone:** (602) 715-8045
- **Practice address fax:** (602) 441-4673
- **Mailing address:** 2432 W PEORIA AVE STE 1200, PHOENIX, AZ 85029-4736
- **Mailing address phone:** (602) 715-8045
- **Mailing address fax:** (602) 441-4673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2020
- **Last updated:** 11/24/2020