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Organization

MEDICAL NETWORK OF AZ, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA L BECKER (DIRECTOR)
(602) 481-7369
Entity
Organization

Contact information

Practice address
604 W WARNER RD STE A, CHANDLER, AZ 85225-2900
(480) 527-1586
(480) 306-6029
Mailing address
3717 S. HIGLEY ROAD, STE 114, PMB 298, GILBERT, AZ 85297
(602) 481-7369

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
174400000X
Specialist
Primary
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207T00000X
Neurological Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
2085R0204X
Vascular & Interventional Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
06/13/2018
Last updated
09/28/2018
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