NPI 1023477916

Four Seasons Medical Services LLC

Organisation Specialist Phoenix, AZ

Practice location

Address: 19820 N 7th Ave Suite 230-D, Phoenix, AZ 85027-4736
Phone: (602) 369-8112
Mailing address: 2711 Centerville Rd Suite 400, Wilmington, DE 19808-1660

Authorised official

Name: Gregory Brian Maxon Maldonado
Title: Manager/President
Phone: (602) 369-8112

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1023477916
Entity type: Organization
NPI issued: 19 Feb 2016
Record last updated: 19 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.