Individual
MATTHEW ENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
7814 S 72ND LN, LAVEEN, AZ 85339-3446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7967331-1701
UT
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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