Organization
SOUTHWEST IOM PRO LLC
Active
Other names
SOUTHWEST IOM PRO LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER S RAY MD (PRESIDENT)
(623) 293-3985
Entity
Organization
Contact information
Practice address
6401 E CARON DR, PARADISE VALLEY, AZ 85253-1862
(623) 293-3985
Mailing address
6401 E CARON DR, PARADISE VALLEY, AZ 85253-1862
(623) 293-3985
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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