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Organization

EDICINE IM PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL PAUL CARSON (BILLING MANAGER)
(480) 626-1415
Entity
Organization

Contact information

Practice address
2551 N GREEN VALLEY PKWY STE 425A, HENDERSON, NV 89014-0272
(702) 423-9566
Mailing address
34597 N 60RH STREET SUITE 110, SCOTTSDALE, AZ 85266-5241
(480) 488-8020

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
06/09/2023
Last updated
06/09/2023
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