Organization
CEB CAPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY JONES (OFFICE MANAGER)
(623) 247-2300
Entity
Organization
Contact information
Practice address
4502 W INDIAN SCHOOL RD, SUITE A-3, PHOENIX, AZ 85031-2800
(623) 247-0414
(623) 247-0424
Mailing address
9150 W INDIAN SCHOOL RD, SUITE 111B, PHOENIX, AZ 85037-2384
(623) 247-2300
(623) 247-1939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
03/23/2016
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