Organization
WELLNESS 1ST INTEGRATIVE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID ROOH DC (CLINIC DIRECTOR)
(480) 304-5152
Entity
Organization
Contact information
Practice address
2451 E BASELINE RD STE 100, GILBERT, AZ 85234
(480) 304-5152
(480) 603-4147
Mailing address
2451 E BASELINE RD STE 100, GILBERT, AZ 85234-2467
(480) 304-5152
(480) 603-4147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
RN06371
AZ
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Enumeration date
11/22/2017
Last updated
04/20/2021
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