Organization
JWT MEDICAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W TORSETH M.D. (PRESIDENT)
(763) 443-0236
Entity
Organization
Contact information
Practice address
39733 N LOST LEGEND DR, ANTHEM, AZ 85086-3643
(763) 443-0236
(623) 207-4872
Mailing address
39733 N LOST LEGEND DR, ANTHEM, AZ 85086-3643
(763) 443-0236
(623) 207-4872
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
42825
AZ
Other
Enumeration date
03/24/2013
Last updated
03/24/2013
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