Organization
EDLC, LLC
Active
Other names
Endocrinology, Diabetes and Longevity Center of Arizona, PLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA FORD (PRACTICE MANAGER)
(480) 513-1042
Entity
Organization
Contact information
Practice address
7344 E DEER VALLEY RD STE 100, SCOTTSDALE, AZ 85255-7456
(480) 513-1042
(480) 513-1043
Mailing address
PO BOX 27973, SCOTTSDALE, AZ 85255-0149
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/10/2021
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