Organization · NPI-2

Apr Med Group LLC

Pain Medicine, Interventional Pain Medicine · Mesa, AZ

NPI number1013517648
StatusActive
Last updated in NPPESFeb 24, 2022

Details

NPI
1013517648
Entity type
Organization (NPI-2)
Legal business name
Apr Med Group LLC
Organization subpart
Yes
Enumeration date
Nov 1, 2020
Certification date
Feb 24, 2022
Last updated
Feb 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine––Yes
111N00000X Chiropractor––
208100000X Physical Medicine & Rehabilitation––
332B00000X Durable Medical Equipment & Medical Supplies––
363L00000X Nurse Practitioner––

Practice location

3614 E Southern Ave Ste 105
Mesa, AZ 85206-2510

Phone 602-354-5310

Mailing address

21001 N Tatum Blvd Ste 1630-606
Phoenix, AZ 85050-4242

Phone 602-354-5310

Authorized official

Thomas Moshiri
Manager
6024413573

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