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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