Organization
MIND BODY WELLNESS LLC
Active
Organization
MIND BODY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHAR GOLESTAN MD (PROVIDER)
(480) 345-5420
Entity
Organization
Contact information
Practice address
1753 E BROADWAY RD STE 101-460, TEMPE, AZ 85282-2081
(480) 345-5420
Mailing address
1753 E BROADWAY RD STE 101-460, TEMPE, AZ 85282-2081
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42214
AZ
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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