Organization
HEALTHY LIFE CORPORATION
Active
Other names
Desert Bloom Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA ANN CONRADSON (ADMINISTRATOR)
(623) 385-7900
Entity
Organization
Contact information
Practice address
10240 W INDIAN SCHOOL RD STE 155, PHOENIX, AZ 85037-5909
(623) 385-7900
(623) 792-1233
Mailing address
10240 W INDIAN SCHOOL RD STE 155, PHOENIX, AZ 85037-5909
(623) 385-7900
(623) 792-1233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7820
AZ
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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