Organization
THE SOURCE NATUROPATHIC MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA HELIOTI NMD (CLINICAL PHYSICIAN)
(585) 469-9067
Entity
Organization
Contact information
Practice address
550 W INDIAN SCHOOL RD STE 122, PHOENIX, AZ 85013-3200
(602) 234-1158
(602) 234-9691
Mailing address
550 W. INDIAN SCHOOL RD SUITE 122, PHOENIX, AZ 85013
(602) 234-1158
(602) 234-9691
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AZ15-1492
AZ
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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