Organization
ANGEL CLINIC LLC
Active
Other names
Angel Clinic 2U
Organization subpart
No
Provider details
NPI number
Authorized official
MURALI TALLURI MD (OWNER)
(602) 852-0200
Entity
Organization
Contact information
Practice address
4515 S MCCLINTOCK DR, #120, TEMPE, AZ 85282-7376
(602) 852-0200
(602) 852-0381
Mailing address
PO BOX 10548, SCOTTSDALE, AZ 85271-0548
(602) 852-0200
(602) 852-0381
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
AZ
261QM1300X
Multi-Specialty Clinic/Center
—
AZ
Other
Enumeration date
04/25/2013
Last updated
05/08/2013
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