Phoenix Ionm, Llc.
NPI #1891357406 in East Wenatchee, Washington
Provider Information
- NPI Number
- 1891357406
- Entity Type
- Organization
- Organization Name
- Phoenix Ionm, Llc.
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 3, 2019
- Last Updated
- Jul 3, 2019
Practice Location
- Address
- 11 OHRAZDA LN
- City
- East Wenatchee
- State
- Washington
- ZIP Code
- 98802-9335
- Phone
- (720) 435-5129
Authorized Official
- Name
- MR. JONATHAN KIDD, CNIM
- Title
- CHIEF OPERATING OFFICER
- Phone
- (217) 821-0759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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