Organization
NEW WAVE MEDICAL AZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALIA ELIZALDE (CUSTOMER SUCCESS TEAM)
(844) 327-2199
Entity
Organization
Contact information
Practice address
2828 N CENTRAL AVE FL 10, PHOENIX, AZ 85004-1236
(844) 327-2199
(844) 337-7304
Mailing address
711 VALARIE ST, RIDGECREST, CA 93555-5940
(844) 327-2199
(844) 337-7304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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