Organization
VITAL MALE SCOTTSDALE LLC
Active
Parent organization
THE MOTHERSHIP LLC
Other names
The Vital Male Scottsdale
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MOTHERSHIP LLC
Authorized official
MR. JAMES THOMAS PHILLIPS (PRESIDENT)
(480) 998-4825
Entity
Organization
Contact information
Practice address
11000 N SCOTTSDALE RD, STE. 145, SCOTTSDALE, AZ 85254-6130
(480) 998-4825
(480) 219-5173
Mailing address
11000 N SCOTTSDALE RD, STE. 145, SCOTTSDALE, AZ 85254-6130
(480) 998-4825
(480) 219-5173
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
091121
AZ
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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