Organization
WADDELL MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG VOGEL (CEO)
(480) 497-2900
Entity
Organization
Contact information
Practice address
13733 N. PRASADA PARKWAY, SUITE 100, SURPRISE, AZ 85388
(480) 497-2900
Mailing address
754 S VAL VISTA DR STE 105, GILBERT, AZ 85296-3139
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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