Organization
ANTHEM PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN THOMPSON (OWNER)
(435) 760-5896
Entity
Organization
Contact information
Practice address
3624 W ANTHEM WAY, C110, ANTHEM, AZ 85086-0440
(623) 551-9950
(623) 551-9950
Mailing address
3624 WEST ANTHEM WAY, C110, ANTHEM, AZ 85086
(623) 551-9950
(623) 551-9950
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
10/08/2020
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