Arizona Pm&r LLC

NPI #1407498827 in Mesa, Arizona

Provider Information

NPI Number: 1407498827
Entity Type: Organization
Organization Name: Arizona Pm&r LLC
Primary Specialty: Surgery
Enumeration Date: Oct 17, 2019
Last Updated: Oct 17, 2019

Practice Location

Address: 1303 S LONGMORE STE 8
City: Mesa
State: Arizona
ZIP Code: 85202-9607
Phone: (480) 649-5297

Authorized Official

Name: BRADLEY FORBES
Title: OWNER
Phone: (480) 221-7054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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