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Organization

SOUTHWEST IOM PRO LLC

Active
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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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