Organization
SCOTTSDALE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CORMIER (PRESIDENT)
(480) 306-7227
Entity
Organization
Contact information
Practice address
4432 N MILLER RD STE 102, SCOTTSDALE, AZ 85251-3697
(480) 306-7227
Mailing address
4432 N MILLER RD STE 102, SCOTTSDALE, AZ 85251-3697
(480) 306-7227
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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