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Organization

LE SHANGRI LA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRYAN DAVID FRIEDMAN DO (DO, OWNER)
(480) 664-0125
Entity
Organization

Contact information

Practice address
7545 E ANGUS DR, SCOTTSDALE, AZ 85251-6409
(480) 664-0125
(480) 664-0219
Mailing address
7600 E CAMELBACK RD STE 7, SCOTTSDALE, AZ 85251-2106
(480) 664-0125
(480) 664-0219

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
08/01/2019
Last updated
08/01/2019
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