Organization
AIMSMEDAZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA BLOSSOM (REVENUE CYCLE DIRECTOR)
(574) 804-9007
Entity
Organization
Contact information
Practice address
1346 E MCDOWELL RD, PHOENIX, AZ 85006-2616
(574) 804-9007
Mailing address
PO BOX 768, MISHAWAKA, IN 46546-0768
(574) 804-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
12/09/2020
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