Medela Vida LLC

NPI #1073124509 in Mesa, Arizona

Provider Information

NPI Number
1073124509
Entity Type
Organization
Organization Name
Medela Vida LLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Aug 10, 2020
Last Updated
Aug 10, 2020

Practice Location

Address
6020 E BROWN RD STE 104
City
Mesa
State
Arizona
ZIP Code
85205-4812
Phone
(602) 428-0700

Authorized Official

Name
TIMOTHY DEAN BINGHAM
Title
OWNER
Phone
(480) 331-0046

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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