Organization
ADVANCED HEALTH AND WELLNESS AZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH RYAN HALL DPM, MEDICAL DIRECTO (MEDICAL DIRECTOR)
(928) 537-7111
Entity
Organization
Contact information
Practice address
4830 HIGHWAY 260 STE 102, LAKESIDE, AZ 85929
(928) 537-7111
(928) 532-1129
Mailing address
4830 HIGHWAY 260 STE 102, LAKESIDE, AZ 85929-5851
(928) 537-7111
(928) 532-1129
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
AZ
Other
Enumeration date
04/02/2018
Last updated
06/07/2018
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