SOUTHWEST IOM LLC NPI 1063035707

NPI Information

SOUTHWEST IOM, LLC is a medical specialty clinic center in Paradise Valley, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SOUTHWEST IOM, LLC NPI is 1063035707. The provider is registered as an organization entity type.

The provider's business location address is:

6401 E CARON DR
PARADISE VALLEY, AZ
ZIP 85253-862
Phone: (623) 293-3985

The provider's authorized official is Christopher Ray .
The authorized official title is President and has the following contact phone number (623) 293-3985.

The enumeration date for this NPI number is 5/28/2020 and was last updated on 5/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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