Organization
THE SOURCE NATUROPATHIC MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ARNESON NMD (OWNER)
(602) 234-1158
Entity
Organization
Contact information
Practice address
1932 N MESA DR UNIT 9, MESA, AZ 85201-1622
(707) 540-1456
Mailing address
1932 N MESA DR UNIT 9, MESA, AZ 85201-1622
(707) 540-1456
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
15-1487
AZ
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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