Organization
ARIZONA INTEGRATIVE MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STALLONE (PRESIDENT)
(480) 214-3922
Entity
Organization
Contact information
Practice address
8144 E CACTUS RD, SUITE 820, SCOTTSDALE, AZ 85260-5266
(480) 214-3922
Mailing address
8144 E CACTUS RD, SUITE 820, SCOTTSDALE, AZ 85260-5266
(480) 214-3922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ02116670
AZBCBS
AZ
Enumeration date
02/15/2007
Last updated
11/12/2008
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