| Anthem Physical Medicine Llc | |
|
3624 W Anthem Way C110 Anthem AZ 85086-0440 | |
| (623) 551-9950 | |
| (623) 551-9950 |
| Full Name | Anthem Physical Medicine Llc |
|---|---|
| Speciality | General Practice |
| Location | 3624 W Anthem Way, Anthem, Arizona |
| Authorized Official Name and Position | Justin Thompson (OWNER) |
| Authorized Official Contact | 4357605896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthem Physical Medicine Llc 3624 West Anthem Way C110 Anthem AZ 85086 Ph: (623) 551-9950 | Anthem Physical Medicine Llc 3624 W Anthem Way C110 Anthem AZ 85086-0440 Ph: (623) 551-9950 |
| NPI Number | 1700251071 |
|---|---|
| Provider Enumeration Date | 12/11/2015 |
| Last Update Date | 10/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700251071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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