AFC OF PHOENIX, PLLC
Suppliers at Central Ave, Phoenix, AZ

License number
Arizona AP5397
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: LISA M. PACE N.P.
Title: MEDICAL DIRECTOR
Phone: (602) 296-4060
Address
Address 2
2 N Central Ave SUITE 120, Phoenix, AZ 85004
2980 N Beverly Glen Cir SUITE 301, Los Angeles, CA 90077
National Provider ID: 1154740348
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AFC OF PHOENIX, PLLC at bizstanding.com

AFC OF PHOENIX, PLLC

Ste 120-12 STE 120-125, Phoenix, AZ 85004

Registration:
Feb 18, 2014
State ID:
P-1905753-5
Expiration:
PERPETUAL
Members:
Dr Josh Bock Consulting Llc (Member), Ste 35 STE 354, Mesa, AZ 85210 (Physical),Chirowall Inc (Member), Ste 35 STE 354, Mesa, AZ 85210 (Physical)
Agent:
Ron Knott,10830 N 71 Pl SUITE 105, Scottsdale, AZ 85254 (Physical)

Suppliers licenses in Arizona










Other Doctors licenses in Arizona