Organization
MEDWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M EBY (PRESIDENT)
(602) 679-7676
Entity
Organization
Contact information
Practice address
610 N GILBERT RD, SUITE 309, GILBERT, AZ 85234-4502
(480) 926-1111
(480) 926-2958
Mailing address
610 N GILBERT RD, SUITE 309, GILBERT, AZ 85234-4502
(480) 926-1111
(480) 926-2958
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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