Caspian Gleam Medical Center LLC

NPI #1174073837 in Prescott, Arizona

Provider Information

NPI Number
1174073837
Entity Type
Organization
Organization Name
Caspian Gleam Medical Center LLC
Primary Specialty
Clinic/Center
Enumeration Date
Oct 6, 2016
Last Updated
Oct 6, 2016

Practice Location

Address
3130 STILLWATER DRIVE, SUITE B
State
Arizona
ZIP Code
86305
Phone
(801) 884-9687

Authorized Official

Name
FARBOD MISAGHIAN
Title
OWNER
Phone
(801) 884-9687

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center

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