Organization
WELLNESS TODAY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL M SHANAHAN (BILLING MANAGER)
(623) 974-6611
Entity
Organization
Contact information
Practice address
13090 N 94TH DR, # 204, PEORIA, AZ 85381-4256
(623) 972-6700
Mailing address
13090 N 94TH DR, # 204, PEORIA, AZ 85381-4256
(623) 972-6700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10747
AZ
Other
Enumeration date
09/03/2008
Last updated
12/18/2008
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