Organization
MEDICALLY DIRECTED CARE CLINIC PHOENIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY LORAN WEBB (OWNER)
(602) 326-5932
Entity
Organization
Contact information
Practice address
1425 S HIGLEY RD, GILBERT, AZ 85296-4798
(480) 870-1414
Mailing address
3714 S PONDEROSA DR, GILBERT, AZ 85297-7422
(602) 326-5932
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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