Organization
ARTEM AESTHESTICS & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE DANIEL MD (CEO & MEDICAL DIRECTOR)
(623) 566-4902
Entity
Organization
Contact information
Practice address
9059 W LAKE PLEASANT PKWY STE C320, PEORIA, AZ 85382-8394
(623) 566-4902
Mailing address
9059 W LAKE PLEASANT PKWY STE C320, PEORIA, AZ 85382-8394
(623) 566-4902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ52709
LICENSE
AZ
Enumeration date
07/11/2018
Last updated
06/11/2019
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