Organization
BODY WISE WEIGHT LOSS & AESTHETICS CENTER INC
Active
Organization
BODY WISE WEIGHT LOSS & AESTHETICS CENTER INC
Active
Other names
BODY WISE MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ALAN MIKEL M.D. (PHYSICIAN OWNER)
(480) 289-5252
Entity
Organization
Contact information
Practice address
3921 E BASELINE RD, SUITE 100, GILBERT, AZ 85234-2727
(480) 289-5252
(480) 776-5169
Mailing address
3921 E BASELINE RD, SUITE 100, GILBERT, AZ 85234-2727
(480) 289-5252
(480) 776-5169
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
21229
AZ
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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