Organization
MEDSHAPE WEIGHT LOSS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPANIE SMITH (DIRECTOR OF OPERATIONS)
(480) 413-9000
Entity
Organization
Contact information
Practice address
1845 S DOBSON RD, 202, MESA, AZ 85202-5661
(480) 413-9000
(480) 413-2060
Mailing address
1845 S DOBSON RD, 202, MESA, AZ 85202-5661
(480) 413-9000
(480) 413-2060
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2009
Last updated
03/07/2009
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