Organization
FUNCTIONAL MEDICINE CENTER OF ARIZONA
Active
Other names
Functional Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TIEDEMANN (OWNER/CLINICAL DIRECTOR)
(480) 747-0499
Entity
Organization
Contact information
Practice address
806 S 56TH AVE STE 1B, PHOENIX, AZ 85043-4630
(602) 429-0447
Mailing address
806 S 56TH AVE STE 1B, PHOENIX, AZ 85043-4630
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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