Organization
IMPERIAL SYNERGY LLC
Active
Other names
Imperial Synergy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DERRIC THOMPSON (OWNER)
(323) 772-8626
Entity
Organization
Contact information
Practice address
2601 W DUNLAP AVE # 206, PHOENIX, AZ 85021-2711
(323) 772-8626
Mailing address
2601 W DUNLAP AVE # 206, PHOENIX, AZ 85021-2711
(323) 772-8626
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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