Organization
US LIVE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN VAFAI (OWNER)
(480) 707-1597
Entity
Organization
Contact information
Practice address
12610 E LAUREL LN, SCOTTSDALE, AZ 85259-3460
(480) 707-1597
Mailing address
12610 E LAUREL LN, SCOTTSDALE, AZ 85259-3460
(480) 707-1597
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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