Southwellness Medical LLC
NPI #1366099533 in Paradise Valley, Arizona
Provider Information
- NPI Number
- 1366099533
- Entity Type
- Organization
- Organization Name
- Southwellness Medical LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 22, 2019
- Last Updated
- Oct 15, 2020
Practice Location
- Address
- 10599 N TATUM BLVD STE F151
- City
- Paradise Valley
- State
- Arizona
- ZIP Code
- 85253-1053
- Phone
- (480) 991-9271
Authorized Official
- Name
- DR. TYLER JOHN SOUTHWELL, MD
- Title
- CEO
- Phone
- (480) 991-9271
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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