Organization
MEDSHAPE WEIGHT LOSS CLINIC, LLC
Active
Parent organization
MEDSHAPE WEIGHT LOSS CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDSHAPE WEIGHT LOSS CLINIC, LLC
Authorized official
MS. STEPHANIE SMITH (DIRECTOR OF OPERATIONS)
(480) 276-3742
Entity
Organization
Contact information
Practice address
7972 W THUNDERBIRD RD, 106, PEORIA, AZ 85381-4903
(623) 412-2700
(623) 776-3065
Mailing address
7972 W THUNDERBIRD RD, 106, PEORIA, AZ 85381-4903
(623) 412-2700
(623) 776-3065
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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