Four Seasons Medical Services LLC

NPI #1023477916 in Phoenix, Arizona

Provider Information

NPI Number: 1023477916
Entity Type: Organization
Organization Name: Four Seasons Medical Services LLC
Primary Specialty: Specialist
Enumeration Date: Feb 19, 2016
Last Updated: Feb 19, 2016

Practice Location

Address: 19820 N 7TH AVE
Address 2: SUITE 230-D
City: Phoenix
State: Arizona
ZIP Code: 85027-4736
Phone: (602) 369-8112

Authorized Official

Name: MR. GREGORY BRIAN MAXON MALDONADO
Title: MANAGER/PRESIDENT
Phone: (602) 369-8112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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