ARIZONA BLEEDING DISORDERS HEALTH AND WELLNESS CENTER
Osteopathic Medicine at 5 Ave, Phoenix, AZ

License number
Arizona OTC6802
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: KIRBY HOLLIDAY
Title: CREDENTIALING MANAGER
Phone: (480) 857-3900
Address
Address
821 N 5Th Ave, Phoenix, AZ 85003
National Provider ID: 1982090338
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ARIZONA BLEEDING DISORDERS HEALTH AND WELLNESS CENTER

826 N 5 Ave, Phoenix, AZ 85003

Registration:
Sep 19, 2013
State ID:
-1848945-4
Expiration:
Perpetual
Chief executive officer:
Cindy Komar (Chief executive officer), 826 N 5 Ave, Phoenix, AZ 85003 (Physical)
Agent:
Mh Service Llc,201 E Washington St #800, Phoenix, AZ 85004 (Physical)
Business type:
Charitable

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