MCDOWELL WEST INTERNAL MEDICINE PC
Osteopathic Medicine at Mcdowell Rd, Goodyear, AZ

License number
Arizona 2166
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: JOYCE ROBINSON
Title: OFFICE MANAGER
Phone: (623) 512-4350
Address
Address
13555 W Mcdowell Rd SUITE 104, Goodyear, AZ 85395
National Provider ID: 1689811630
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MCDOWELL WEST INTERNAL MEDICINE, PC

13555 W Mcdowell Rd #101, Goodyear, AZ 85395

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Apr 10, 1990
Inactive since:
Aug 18, 2014
State ID:
-0222739-0
Expiration:
Perpetual
Secretarys:
Ronald W Kennett (President/ceo), 13555 W Mcdowell Rd #101, Goodyear, AZ 85395 (Physical),Debra Kennett (Secretary), 5901 N 129 Dr, Litchfield Park, AZ 85340 (Physical)
Agent:
Dan R Morris,3550 N Central Ave, Phoenix, AZ 85012 (Physical)
Business type:
Health Care

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