Organization
EW BREAST IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESZTER WOLF MD (MEMBER MANAGER)
(480) 314-7600
Entity
Organization
Contact information
Practice address
8896 E BECKER LN STE 101, SCOTTSDALE, AZ 85260-6281
(480) 314-7600
(480) 767-7601
Mailing address
8896 E BECKER LN STE 101, SCOTTSDALE, AZ 85260-6281
(480) 314-7600
(480) 767-7601
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45762
MEDICAL LICENSE
AZ
Enumeration date
06/09/2020
Last updated
06/09/2020
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