Organization
SOUTHWEST FACILITY PROVIDERS, LLC
Active
Other names
Southwest Facility Providers, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER RAY MD (PRESIDENT)
(623) 293-3985
Entity
Organization
Contact information
Practice address
2629 N SCOTTSDALE RD STE 100, SCOTTSDALE, AZ 85257-1370
(623) 293-3985
(480) 447-8858
Mailing address
1940 E THUNDERBIRD RD STE 103, PHOENIX, AZ 85022-5760
(623) 293-3985
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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