MARK ALAN WELLEK MD LTD
Psychiatric at 32 St, Phoenix, AZ

License number
Arizona LCSW-0460
Category
Social Work
Type
Clinical
License number
Arizona AZ6416
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. MARK ALAN WELLEK M.D.
Title: OWNER
Phone: (602) 955-1070
Address
Address
4202 N 32Nd St STE G, Phoenix, AZ 85018
National Provider ID: 1538404991
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK ALAN WELLEK, M.D., LTD

4202 N 32 St STE G, Phoenix, AZ 85018

Registration:
Apr 2, 1973
State ID:
-0091305-8
Expiration:
PERPETUAL
President/ceo:
Mark Alan Wellek Md (President/ceo), 4202 N 32 St STE G, Phoenix, AZ 85018 (Physical)
Agent:
Shimmel Hill Bishop Gruender,3700 N 24 St, Phoenix, AZ 85016 (Physical)
Business type:
HEALTH CARE

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