Organization
PROMEDISCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MAGOFFIE (NP)
(623) 748-9106
Entity
Organization
Contact information
Practice address
2525 W CAREFREE HWY STE 118, PHOENIX, AZ 85085-9302
(623) 748-9106
(602) 429-8579
Mailing address
39506 N DAISY MOUNTAIN DR, SUITE 122-169, ANTHEM, AZ 85086-1663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP4802
AZ
Other
Enumeration date
04/02/2017
Last updated
01/25/2018
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