Organization
MBI INDUSTRIAL MEDICINE EAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WAHL (HR DIRECTOR)
(602) 272-7676
Entity
Organization
Contact information
Practice address
4100 E BROADWAY RD, PHOENIX, AZ 85040-8843
(602) 437-0234
Mailing address
3501 W OSBORN RD, PHOENIX, AZ 85019-4037
(602) 272-7676
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
OTC-3910
AZ
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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