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Organization

MEDSHAPE WEIGHT LOSS CLINIC LLC

Active
Parent organization
MEDSHAPE WEIGHT LOSS CLINIC LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDSHAPE WEIGHT LOSS CLINIC LLC
Authorized official
MS. STEPANIE SMITH (DIRECTOR OF OPERATIONS)
(480) 276-3742
Entity
Organization

Contact information

Practice address
8114 E CACTUS RD, 230, SCOTTSDALE, AZ 85260-5260
(480) 922-1222
(480) 922-1239
Mailing address
8114 E CACTUS RD, 230, SCOTTSDALE, AZ 85260-5260
(480) 922-1222
(480) 922-1239

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
08/04/2009
Last updated
08/04/2009
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