Organization
NO APPOINTMENT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA LEWELLING (COO)
(623) 773-2266
Entity
Organization
Contact information
Practice address
12235 N CAVE CREEK RD., SUITE 9, PHOENIX, AZ 85022
(623) 773-2266
(623) 773-2267
Mailing address
PO BOX 60123, PHOENIX, AZ 85082
(623) 773-2266
(623) 773-2267
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
08/03/2010
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