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Organization

THS TECH IOM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PIERCE WAYCHOFF (MBR)
(602) 482-2282
Entity
Organization

Contact information

Practice address
3329 E BELL RD STE A1, PHOENIX, AZ 85032-2756
(602) 482-2282
Mailing address
2801 CENTERVILLE RD FL 1, WILMINGTON, DE 19808-1609

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
10/10/2018
Last updated
10/10/2018
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