THOMAS C WAITZ MD PC
Radiology at 17 Ave, Phoenix, AZ

License number
Arizona 7083
Category
Radiology
Type
Surgery
Owner
Name: DR. THOMAS CLAIBORNE WAITZ MD
Title: PRESIDENT OF PC
Phone: (602) 997-6062
Address
Address
7720 N 17Th Ave, Phoenix, AZ 85021
National Provider ID: 1649457953
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THOMAS C. WAITZ, M.D., PC

7720 N 17 Ave, Phoenix, AZ 85021

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Thomas C Waitz MD PC
Inactive reason:
Ad-dissolved-file annual report
Registration:
May 29, 1979
Inactive since:
Nov 8, 2013
Phone:
(602) 997-6062 (Phone)
State ID:
-0123100-9
Expiration:
PERPETUAL
Office Managers:
Thomas C Waitz President/ceo, President, Surgeon, Medical Doctor, inactive, 7720 N 17 Ave, Phoenix, AZ 85021 (Physical),Claire A. Waitz Office Manager, inactive
Agent:
Thomas C Waitz Md Pc,7720 N 17 Ave, Phoenix, AZ 85021 (Physical)

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