Organization
AZ WELLNESS CLINICA FAMILIAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GUTIERREZ MD (MEDICAL DIRECTOR)
(480) 433-9920
Entity
Organization
Contact information
Practice address
10645 N 43RD AVE, PHOENIX, AZ 85029-3944
(602) 370-2920
Mailing address
10645 N 43RD AVE, PHOENIX, AZ 85029-3944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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