Organization
GLICK MEDICAL GROUP, PLLC
Active
Parent organization
INTEGRATIVE HEALTH INSTITUTE LLC
Other names
Integrative Health Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATIVE HEALTH INSTITUTE LLC
Authorized official
SHANTEL GLICK PA-C (OWNER)
(623) 329-5416
Entity
Organization
Contact information
Practice address
7659 E PINNACLE PEAK RD STE 105, SCOTTSDALE, AZ 85255-6298
(480) 222-4600
(480) 222-4619
Mailing address
7659 E PINNACLE PEAK RD STE 105, SCOTTSDALE, AZ 85255-6298
(480) 222-4600
(480) 222-4619
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z178737
FAMILY PRACTICE
AZ
Enumeration date
09/21/2021
Last updated
10/11/2021
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