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Organization

ANTI-AGING INSTITUTE OF ARIZONA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON WILLIAMS (MANAGING PARTNER)
(480) 292-1110
Entity
Organization

Contact information

Practice address
3514 N POWER RD STE 107, MESA, AZ 85215-2907
(480) 292-1110
(480) 634-1200
Mailing address
3514 N POWER RD STE 107, MESA, AZ 85215-2907
(480) 292-1110
(480) 634-1200

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
10/04/2010
Last updated
10/04/2010
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