Organization
PWW HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERCE WAYCHOFF DC (SOLE MBR)
(602) 482-2282
Entity
Organization
Contact information
Practice address
3202 E GREENWAY RD, SUITE 1619, PHOENIX, AZ 85032-4548
(602) 482-2282
(602) 482-2909
Mailing address
1121 E MISSOURI AVE, SUITE 100, PHOENIX, AZ 85014-2713
(602) 889-5833
(602) 889-5834
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
05/22/2015
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