Organization
CAREFIRST WELLNESS ASSOCIATES OF AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARESHKUMAR BOGHARA MD (OWNER)
(623) 227-1000
Entity
Organization
Contact information
Practice address
12361 W BOLA DR STE 109, SURPRISE, AZ 85378-9021
(623) 227-1000
Mailing address
12361 W BOLA DR STE 109, SURPRISE, AZ 85378-9021
(623) 227-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
04/18/2024
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