Medshape Weight Loss Clinic, LLC

NPI #1093943219 in Peoria, Arizona

Provider Information

NPI Number
1093943219
Entity Type
Organization
Organization Name
Medshape Weight Loss Clinic, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDSHAPE WEIGHT LOSS CLINIC, LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jun 25, 2009
Last Updated
Jun 25, 2009

Practice Location

Address
7972 W THUNDERBIRD RD
Address 2
106
City
Peoria
State
Arizona
ZIP Code
85381-4903
Phone
(623) 412-2700

Authorized Official

Name
MS. STEPHANIE SMITH
Title
DIRECTOR OF OPERATIONS
Phone
(480) 276-3742

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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