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General NPI Number Information
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NPI Number | 1639973761
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Entity Type | Organization
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Legal Business Name | PHOENIX METABOLIC HEALTH PLLC
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/26/2025
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Provider Practice Location Address
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Address Line | 502 E THUNDERBIRD TRL
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City | PHOENIX
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State | AZ
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Zip | 85042-8370
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Country | US
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Telephone | 623-243-3378
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 E BASELINE RD STE 148-284
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City | PHOENIX
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State | AZ
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Zip | 85042-6962
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Country | US
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Telephone | 623-243-3378
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIAN BROCK ANDERSEN
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Credential | NP
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Telephone | 623-243-3378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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