Avesis, LLC
NPI #1871862599 in Tempe, Arizona
Provider Information
- NPI Number
- 1871862599
- Entity Type
- Organization
- Organization Name
- Avesis, LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Dec 27, 2011
- Last Updated
- Oct 4, 2023
Practice Location
Authorized Official
- Name
- JENNIFER L MOORE
- Title
- REGULATORY LICENSE MANAGER
- Phone
- (207) 356-4244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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