Phoenix Bariatric LLC

NPI #1225744253 in Mesa, Arizona

Provider Information

NPI Number: 1225744253
Entity Type: Organization
Organization Name: Phoenix Bariatric LLC
Primary Specialty: Surgery
Enumeration Date: Jan 24, 2023
Last Updated: Jan 24, 2023

Practice Location

Address: 4860 E BASELINE RD STE 105
City: Mesa
State: Arizona
ZIP Code: 85206-4670
Phone: (480) 485-8585

Authorized Official

Name: JOHN J DEBARROS, MD
Title: OWNER/PROVIDER
Phone: (480) 485-8585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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