Balance Hormone Center
Clinic/Center in Gilbert, AZ. Organization (NPI-2).
NPI number1124495403
StatusActive
Last updated in NPPESAug 21, 2015
Details
- NPI
- 1124495403
- Entity type
- Organization (NPI-2)
- Legal business name
- Balance Hormone Center
- Organization subpart
- No
- Enumeration date
- Aug 21, 2015
- Last updated
- Aug 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
2730 S Val Vista Dr Bldg 5Suite 127
Gilbert, AZ 85295-1675
Phone 480-718-9960
Mailing address
2730 S Val Vista Dr Bldg 5Suite 127
Gilbert, AZ 85295-1675
Phone 480-718-9960
Authorized official
Nikki Busellato
Credentialing
4807189960
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All 21 Clinic/Center providers in Gilbert · All 7,856 providers in Gilbert
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