| Iwc West LLC | |
|
2338 W Royal Palm Road Suite J Phoenix AZ 85021 | |
| (404) 423-6840 | |
| Not Available |
| Full Name | Iwc West LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2338 W Royal Palm Road, Phoenix, Arizona |
| Authorized Official Name and Position | Shue Kothari (OWNER) |
| Authorized Official Contact | 4044236840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iwc West LLC 2338 W Royal Palm Road Suite J Phoenix AZ 85021 | Iwc West LLC 2338 W Royal Palm Road Suite J Phoenix AZ 85021 Ph: (404) 423-6840 |
| NPI Number | 1477093193 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477093193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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