Organization
PRIME MERIDIAN INVESTMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L PHILIPP WALL MD (PRESIDENT)
(480) 652-3622
Entity
Organization
Contact information
Practice address
15571 N REEMS RD, SURPRISE, AZ 85374-9584
(480) 652-3622
(623) 321-1965
Mailing address
13406 E DEL TIMBRE DR, SCOTTSDALE, AZ 85259-6301
(480) 652-3622
(623) 321-1965
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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