ARIZONA CLINIC OF GASTROENTEROLOGY PC
Osteopathic Medicine at 59 Ave, Glendale, AZ

License number
Arizona 31649
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: SHEILA R PEIRSON CPC
Title: BILLING MANAGER
Phone: (877) 283-4714
Address
Address 2
13934 N 59Th Ave SUITE 160, Glendale, AZ 85306
PO Box 5819, Peoria, AZ 85385
National Provider ID: 1356570378
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ARIZONA CLINIC OF GASTROENTEROLOGY, PC

6416 W Eugie Ave, Glendale, AZ 85304

Industry:
Health/Allied Services
Registration:
Jun 19, 2009
State ID:
-1534176-3
Expiration:
PERPETUAL
Principals:
Dr Sanjay Verma M D (President), 6416 W Eugie Ave, Glendale, AZ 85304 (Physical),Sheila R. Peirson (Principal)
Agent:
Harish P Shah Cpa,2633 E Indian Shcool Rd #120, Phoenix, AZ 85016 (Physical)

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