Organization
ADVANCED CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W. RITTENOUR (MANAGING PARTNER AUTHORIZED OFFICIA)
(480) 494-2466
Entity
Organization
Contact information
Practice address
40 W BASELINE RD, SUITE #105, TEMPE, AZ 85283-1258
(480) 398-5555
Mailing address
40 W BASELINE RD, SUITE #105, TEMPE, AZ 85283-1258
(480) 588-5102
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
29610
AZ
Other
Enumeration date
07/01/2016
Last updated
04/28/2017
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