Organization
PREMIER HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA A GODBOLE MD (MEMBER)
(602) 795-9980
Entity
Organization
Contact information
Practice address
11801 N TATUM BLVD STE 128, PHOENIX, AZ 85028-1620
(602) 795-9980
Mailing address
11801 N TATUM BLVD STE 128, PHOENIX, AZ 85028-1620
(602) 388-1343
(602) 795-9984
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/21/2014
Last updated
09/12/2023
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