Organization
LONGEVITY WELLNESS CLINIC OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA ROBBINS (CLINIC DIRECTOR)
(480) 453-1367
Entity
Organization
Contact information
Practice address
3920 S ALMA SCHOOL RD STE 8, CHANDLER, AZ 85248-4511
(480) 453-1367
Mailing address
PO BOX 10456, SCOTTSDALE, AZ 85271-0456
(480) 453-1367
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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