Organization
LIFE CLINIC OF AZ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA ALIZADEH (PRESIDENT)
(952) 229-7464
Entity
Organization
Contact information
Practice address
2580 E CAMELBACK RD, PHOENIX, AZ 85016-4204
(952) 229-7464
Mailing address
PO BOX 549, CHANHASSEN, MN 55317-0549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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