Organization
OASIS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEILA TODD (MANAGER)
(928) 200-2165
Entity
Organization
Contact information
Practice address
5860 S HOSPITAL DR, SUITE 103, GLOBE, AZ 85501-9449
(928) 425-2884
Mailing address
PO BOX 243, GLOBE, AZ 85502-0243
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LT1717
AZ
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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