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Organization

ANR DIAGNOSTIC LLC

Active
Other names
Advanced Neurologic Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFERSON WAYNE HOLM PT, DPT (PRESIDENT & CEO)
(602) 854-3644
Entity
Organization

Contact information

Practice address
3961 E GUADALUPE RD STE 1, GILBERT, AZ 85234-3266
(480) 699-4845
Mailing address
3961 E GUADALUPE RD STE 1, GILBERT, AZ 85234-3266
(480) 699-4845

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
09/10/2024
Last updated
09/10/2024
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