Organization
SOUTHWEST PRIMARY CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANU LONIAL M.D. (PRESIDENT)
(630) 329-9816
Entity
Organization
Contact information
Practice address
3200 N DOBSON RD, SUITE F-5, CHANDLER, AZ 85224-9601
(630) 329-9816
Mailing address
5932 E PHELPS RD, SCOTTSDALE, AZ 85254-9223
(630) 329-9816
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43225
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19770524
CORPORATION NUMBER
AZ
Enumeration date
02/06/2015
Last updated
02/06/2015
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