Organization
ASHLEY CLYDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI L LINDSTROM ATP (OWNER)
(623) 826-1207
Entity
Organization
Contact information
Practice address
2432 W PEORIA AVE STE 1200, PHOENIX, AZ 85029-4736
(602) 715-8045
(602) 441-4673
Mailing address
2432 W PEORIA AVE STE 1200, PHOENIX, AZ 85029-4736
(602) 715-8045
(602) 441-4673
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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