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Organization

LAURIE A FARRICIELLI MD, PC

Active
Parent organization
LAURIE A. FARRICIELLI MD, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAURIE A. FARRICIELLI MD, PC
Authorized official
DR. LAURIE A FARRICIELLI MD (PRESIDENT)
(480) 860-0935
Entity
Organization

Contact information

Practice address
6360 E. THOMAS RD., #218, SCOTTSDALE, AZ 85251-7054
(480) 860-0935
(480) 860-6569
Mailing address
P.O. BOX 14406, SCOTTSDALE, AZ 85267-4406
(480) 860-0935
(480) 860-6569

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
21865
AZ
208M00000X
Hospitalist Physician
Primary
21865
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172370
AZ
Enumeration date
01/05/2009
Last updated
01/05/2009
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