Organization
CHAMBO WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A BODE DO (MEDICAL DIRCECTOR)
(602) 298-2653
Entity
Organization
Contact information
Practice address
4925 W BELL RD, SUITE C7, GLENDALE, AZ 85308-3427
(602) 298-2653
(602) 298-2686
Mailing address
6740 W DEER VALLEY RD, SUITE D107-255, GLENDALE, AZ 85310-5953
(602) 298-2653
(602) 298-2686
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3615
AZ
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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