Organization
MD BUSINESS SOLUTIONS CORP
Active
Organization
MD BUSINESS SOLUTIONS CORP
Active
Other names
Tempe Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. ARNOLDO PROCELA LOPEZ JD (CHIEF EXECUTIVE OFFICER)
(520) 400-8660
Entity
Organization
Contact information
Practice address
445 S 48TH ST, 109, TEMPE, AZ 85281
(480) 945-2558
Mailing address
445 S 48TH ST, 109 C, TEMPE, AZ 85281
(480) 945-2558
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
12985
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196768
—
AZ
01
—
P0731430
BLUE CROSS
AZ
Enumeration date
08/07/2014
Last updated
08/07/2014
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