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BODY WISE WEIGHT LOSS & AESTHETICS CENTER INC NPI 1639312960


NPI Information

NPI: 1639312960
Provider Name: BODY WISE WEIGHT LOSS & AESTHETICS CENTER INC

Doing Business As: BODY WISE MEDICINE

Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
3921 E BASELINE RD
SUITE 100
GILBERT, AZ
ZIP 85234
Phone: (480) 289-5252
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BODY WISE WEIGHT LOSS & AESTHETICS CENTER INC is a public health and general preventive medicine preventive medicine in Gilbert, AZ. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. BODY WISE WEIGHT LOSS & AESTHETICS CENTER INC NPI is 1639312960. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Body Wise Medicine.

The provider's business location address is:

3921 E BASELINE RD
SUITE 100
GILBERT, AZ
ZIP 85234-727
Phone: (480) 289-5252
Fax: (480) 776-5169

The provider's authorized official is Paul Alan Mikel .
The authorized official title is Physician Owner and has the following contact phone number (480) 289-5252.

The enumeration date for this NPI number is 4/16/2009 and was last updated on 4/16/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive Medicine21229ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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