Az Weight Loss Clinic, LLC

NPI #1952061749 in Tempe, Arizona

Provider Information

NPI Number: 1952061749
Entity Type: Organization
Organization Name: Az Weight Loss Clinic, LLC
Primary Specialty: Surgery
Enumeration Date: Dec 21, 2021
Last Updated: Dec 21, 2021

Practice Location

Address: 1855 E SOUTHERN AVE STE 4
City: Tempe
State: Arizona
ZIP Code: 85282-5894
Phone: (480) 689-5104

Authorized Official

Name: MICHAEL ORRIS, DO
Title: OWNER
Phone: (480) 689-5104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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