Organization
NATURAL MEDICINE AND DETOX INC.
Active
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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