Organization
TEMPE OUTPATIENT TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BUCKNER DC (MBR)
(480) 897-3300
Entity
Organization
Contact information
Practice address
1001 E WARNER RD STE 103, TEMPE, AZ 85284
(480) 897-3300
Mailing address
1001 E WARNER RD STE 103, TEMPE, AZ 85284
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2017
Last updated
02/22/2017
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