Organization
PHOENIX PET PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LAWSON M.D. (PRESIDENT)
(602) 331-1771
Entity
Organization
Contact information
Practice address
4540 E COTTON GIN LOOP, STE 150, PHOENIX, AZ 85040-4820
(602) 331-1771
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(602) 331-1771
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219323
—
AZ
Enumeration date
01/11/2007
Last updated
07/27/2010
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