Organization
LIBERATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEOLA ADELAYO M.D (CEO)
(602) 708-9014
Entity
Organization
Contact information
Practice address
802 N. 5TH, PNOENIX, AZ 85003-1316
(602) 708-9014
(888) 349-1581
Mailing address
802 N 5TH AVE, PHOENIX, AZ 85003-1316
(602) 559-4922
(888) 349-1581
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
OTC5977
AZ
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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