Organization
ARIZONA HEALTHY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA SUAREZ RMA (OFFICE MANAGER)
(623) 594-2432
Entity
Organization
Contact information
Practice address
4344 W INDIAN SCHOOL RD STE 8, PHOENIX, AZ 85031-2939
(623) 594-2432
(623) 594-2438
Mailing address
4344 W INDIAN SCHOOL RD STE 8, PHOENIX, AZ 85031-2939
(623) 594-2432
(623) 594-2438
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164867099
—
AZ
Enumeration date
03/04/2020
Last updated
03/04/2020
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