Clearly Smooth, Pllc

NPI 1003874280 - Clinic/Center - 261QH0100X

NPI Details
NPI 1003874280
Enumeration Date 05/04/2006
Last Updated 12/08/2010
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JONATHAN P JONATHAN
Position OWNER
Phone (480) 830-7546
Fax (480) 830-7550
Practice Location
2830 E BROWN RD
SUITE 1
MESA AZ, 85213-5430, US
Phone (480) 830-7546
Fax (480) 830-7550
Business Location
2830 E BROWN RD
SUITE 1
MESA AZ, 85213-5430, US
Phone (480) 830-7546
Fax (480) 830-7550
Toxanomy
Taxonomy Code 261QH0100X
License State Arizona
License Number 4321
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According to our database, Clearly Smooth, Pllc NPI is 1003874280, taxonomy code is 261QH0100X and license number is 4321, license state is located at Arizona. Clearly Smooth, Pllc physically located at 2830 E Brown Rd, Mesa AZ, 85213-5430. NPI Number 1033115704 has the healthcare provider type.

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1003874280 NPI number is provided on an as is basis without warranty of any kind. 1003874280 is maintained by the National Plan & Provider Enumeration System. The contents of Clearly Smooth, Pllc are for informational purposes only.