Weight Loss Surgical Institute, Plc

NPI #1396194965 in Tempe, Arizona

Provider Information

NPI Number: 1396194965
Entity Type: Organization
Organization Name: Weight Loss Surgical Institute, Plc
Primary Specialty: Surgery
Enumeration Date: Jun 6, 2016
Last Updated: Jun 6, 2016

Practice Location

Address: 1855 E SOUTHERN AVE
City: Tempe
State: Arizona
ZIP Code: 85282
Phone: (480) 829-6100

Authorized Official

Name: THOMAS BUDDENSICK, M.D.
Title: PROVIDER
Phone: (480) 829-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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