Organization
HEALTH AND WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH NGUYEN MD (MEMBER)
(602) 632-0000
Entity
Organization
Contact information
Practice address
1155 S COUNTRY CLUB DR, MESA, AZ 85210-4615
(602) 632-0000
Mailing address
1155 S COUNTRY CLUB DR, MESA, AZ 85210-4615
(602) 632-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
05/11/2022
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