Provider Demographics
NPI:1740841717
Name:WEIGHT WATCHERS OF ARIZONA, LLC
Entity type:Organization
Organization Name:WEIGHT WATCHERS OF ARIZONA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-248-0303
Mailing Address - Street 1:4201 N 24TH ST STE 240
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-6267
Mailing Address - Country:US
Mailing Address - Phone:602-248-0303
Mailing Address - Fax:602-274-3640
Practice Address - Street 1:4201 N 24TH ST STE 240
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6267
Practice Address - Country:US
Practice Address - Phone:602-248-0303
Practice Address - Fax:602-274-3640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty