Organization
NATURAL MEDICINE AND DETOX INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO FONTES L.AC. CCH (CLINIC DIRECTOR)
(602) 307-0888
Entity
Organization
Contact information
Practice address
2701 N 7TH ST, PHOENIX, AZ 85006-1004
(602) 307-0888
(602) 307-1002
Mailing address
2701 N 7TH ST, PHOENIX, AZ 85006-1004
(602) 307-0888
(602) 307-1002
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0680
AZ
Other
Enumeration date
08/27/2015
Last updated
11/04/2022
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