Organization
ARROWHEAD MEDICAL AND AESTHETIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY ESPIRITU R.N. (MEMBER)
(623) 434-0336
Entity
Organization
Contact information
Practice address
20325 N 51ST AVE, SUITE 100, GLENDALE, AZ 85308-5674
(623) 434-0336
(623) 825-2545
Mailing address
20325 N 51ST AVE, SUITE 100, GLENDALE, AZ 85308-5674
(623) 434-0336
(623) 825-2545
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
31859AZ
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823030
—
AZ
01
—
Z124160
PTAN
AZ
Enumeration date
06/28/2007
Last updated
09/30/2008
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