Health Source Of Woodbury Pa

NPI 1447401971 - Clinic/Center - 261Q00000X

NPI Details
NPI 1447401971
Enumeration Date 10/02/2008
Last Updated 10/02/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JEFFREY J. JEFFREY
Position OWNER
Phone (651) 735-8646
Fax
Practice Location
7060 VALLEY CREEK PLZ STE 121
WOODBURY MN, 55125-2269, US
Phone (651) 735-8646
Fax
Business Location
7060 VALLEY CREEK PLZ STE 121
WOODBURY MN, 55125-2269, US
Phone (651) 735-8646
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Health Source Of Woodbury Pa NPI is 1447401971, taxonomy code is 261Q00000X Health Source Of Woodbury Pa physically located at 7060 Valley Creek Plz Ste 121, Woodbury MN, 55125-2269. NPI Number 1033115704 has the healthcare provider type.

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1447401971 NPI number is provided on an as is basis without warranty of any kind. 1447401971 is maintained by the National Plan & Provider Enumeration System. The contents of Health Source Of Woodbury Pa are for informational purposes only.