Organization
HEALING TOUCH INTERNAL MEDICINE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL U OGBONNAYA M.D (OWNER)
(480) 361-3636
Entity
Organization
Contact information
Practice address
2919 S ELLSWORTH RD, SUITE 124, MESA, AZ 85212-2144
(480) 361-3636
(480) 361-2525
Mailing address
2919 S ELLSWORTH RD, SUITE 124, MESA, AZ 85212-2144
(480) 361-3636
(480) 361-2525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32142
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818510
—
AZ
01
—
AZ0408670
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/11/2006
Last updated
09/25/2008
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