Organization
ARIZONA WELLNESS MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY J. ARCHER D.O. (DOCTOR)
(623) 412-9355
Entity
Organization
Contact information
Practice address
5750 W THUNDERBIRD RD STE E580, GLENDALE, AZ 85306-4671
(623) 412-9355
(623) 412-9356
Mailing address
PO BOX 279, PEORIA, AZ 85380-0279
(623) 412-9355
(623) 412-9356
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3991
AZ
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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