| Modern Elixir, Pllc | |
|
6818 N Oracle Rd Suite 414 Tucson AZ 85704-4249 | |
| (520) 308-5280 | |
| (520) 308-5281 |
| Full Name | Modern Elixir, Pllc |
|---|---|
| Speciality | Naturopath |
| Location | 6818 N Oracle Rd, Tucson, Arizona |
| Authorized Official Name and Position | Justin K. Taylor (PHYSICIAN) |
| Authorized Official Contact | 5209815042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Elixir, Pllc 6818 N Oracle Rd Suite 414 Tucson AZ 85704-4249 Ph: (520) 308-5280 | Modern Elixir, Pllc 6818 N Oracle Rd Suite 414 Tucson AZ 85704-4249 Ph: (520) 308-5280 |
| NPI Number | 1972827574 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 10/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972827574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21070 (Arizona) | Secondary |
| 175F00000X | Naturopath | (* (Not Available)) | Primary |
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