Organization
PRISTINE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIY MIRZAKANDOV (OWNER)
(602) 633-9700
Entity
Organization
Contact information
Practice address
4040 E MCDOWELL RD STE 119, PHOENIX, AZ 85008-4428
(602) 633-9700
Mailing address
4040 E MCDOWELL RD STE 119, PHOENIX, AZ 85008-4428
(602) 633-9700
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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