Individual
DAVID WAMBOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14015 N 94TH ST APT 3060, SCOTTSDALE, AZ 85260-3738
(480) 323-9961
Mailing address
14015 N 94TH ST APT 3060, SCOTTSDALE, AZ 85260-3738
(480) 323-9961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013400
AZ
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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