Organization
SOUTHWEST IOM, LLC
Active
Other names
Southwest IOM, Southwest IOM,
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER RAY MD (PRESIDENT)
(623) 293-3985
Entity
Organization
Contact information
Practice address
6401 E CARON DR, PARADISE VALLEY, AZ 85253-1862
(623) 293-3985
Mailing address
6401 E CARON DR, PARADISE VALLEY, AZ 85253-1862
(623) 293-3985
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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